Aortic (SA), inflammation of the aorta associated with syphilis, is inflammation in the connective tissue coating of blood vessels begins. can lead to aneurysm. symptomatic in 10% of people treatment not seen. The destruction of the walls of the aorta, causing aneurysms can be that your aneurysm can lead to aortic insufficiency and heart failure, or on nearby organs, pressure. well with antibiotics treatment. but sometimes, surgery for the aneurysm is required.