A rare case of concomitant aortic regurgitation and coronary ostial stenosis due to cardiovascular syphilis
A 62-year-old man was admitted to our hospital with worsening heart failure. Three months prior to this hospitalization, he had been admitted to another local hospital with de novo heart failure. Transthoracic echocardiography showed severe aortic regurgitation and reduced left ventricular ejection fraction with severe hypokinesis of the inferior wall. Invasive coronary angiography demonstrated the bilateral coronary artery ostial stenosis. Although a readmission was scheduled so that he could undergo an elective surgical procedure after his heatrt failure was medically well-controlled, his condition worsened again due to medication non-adherence and his inability to follow-up with a healthcare professional.