S. H. AUERBACH, M.D.
Chronic aortitis is the most common tertiary lesion of acquired syphilis and deformity of the valve with incompetence is a customary sequel. The characteristic aortic lesion is essentially an endarteritis,1 followed by necrosis and sclerosis of the media. The adjacent vascularized portions of the valve cusps are affected in the same manner.2 The destructive process rarely approaches the formation of gummas other than microscopic. Thus, Gordon, Parker and Weiss3 were able to collect only seven adequately described cases of frank gummatous aortitis in the literature to 1942 in a report of three additional cases.
Gummatous destruction of the aortic valve
AUERBACH SH. GUMMATOUS AORTIC VALVULITIS: REPORT OF CASE1. Ann Intern Med. 1945;22:870–876. doi: 10.7326/0003-4819-22-6-870
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Published: Ann Intern Med. 1945;22(6):870-876.
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