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Adhyapak SM et al. – Cardiovascular syphilis has become a medical curiosity with the advent of widespread use of penicillin for the treatment of early syphilis. The authors report a case of a 37–year–old man who presented with sudden onset breathlessness that worsened insidiously for 1 year. This entity is only amenable to surgical correction, even as existing surgical techniques need constant improvisation and individualization to each patient.


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