Christopher K. Zarins, MD, Chengpei Xu, MD, Seymour Glagov, MD 

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Aneurysmal enlargement of the aorta during regression of experimental atherosclerosis  Christopher K. Zarins, MD, Chengpei Xu, MD, Seymour Glagov, MD  Journal of Vascular Surgery  Volume 15, Issue 1, Pages 90-101 (January 1992) DOI: 10.1016/0741-5214(92)70017-F Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Cholesterol levels for the three groups. There is a marked reduction for group III regression animals at 12 months, but not to the baseline level. Journal of Vascular Surgery 1992 15, 90-101DOI: (10.1016/0741-5214(92)70017-F) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Abdominal aortic dimensions for each animal. In group III four of the six animals had larger lumen areas and IEL areas than any of the animals in groups I or II. One animal in group III had a threefold increase in lumen and IEL area compared with group I and II animals and an abdominal aorta 1.2 times larger than the thoracic aorta and was considered to have a manifest aneurysm. Journal of Vascular Surgery 1992 15, 90-101DOI: (10.1016/0741-5214(92)70017-F) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Sections of abdominal aortas of group I (a), group II (b) and group III (c). There was moderate plaque formation after the 6-month induction diet (a). Plaques were much larger and the media was slightly thinner after 12 months on the induction diet, but the artery size (IEL area) did not change significantly (b). After 6 months of the regression diet (c) plaques were significantly smaller and absent in some regions. The media was thin and artery size (IEL area) was significantly increased. (Weigert van Gieson stain; original magnification × 10.) Journal of Vascular Surgery 1992 15, 90-101DOI: (10.1016/0741-5214(92)70017-F) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Sections of thoracic aortas of group I (a), II (b) and III (c). There were no significant differences in artery size or media thickness among the groups. (Weigert van Gieson stain; original magnification × 10.) Journal of Vascular Surgery 1992 15, 90-101DOI: (10.1016/0741-5214(92)70017-F) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 Histologic changes in abdominal aorta of each group. After 6 months of the induction diet, group I (a), moderate plaque formed with characteristic foamy cell prevalence and little change in the media. In group II (b), after the 12-month induction diet, plaques were complex with formation of fibrous caps and evidence of necrosis and cholesterol accumulation. Media appeared normal with clearly stained elastic lamellae and smooth muscle cells. After 6-month regression diet, group III (c), plaques were much smaller and largely fibrotic. Media was thinned and elastic lamellae were largely inapparent. (Weigert van Gieson stain; original magnification × 75.) Journal of Vascular Surgery 1992 15, 90-101DOI: (10.1016/0741-5214(92)70017-F) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 6 Thoracic aortas show no significant differences among the groups: group I (a), II (b), and III (c). (Weigert van Gieson stain; original magnification × 75.) Journal of Vascular Surgery 1992 15, 90-101DOI: (10.1016/0741-5214(92)70017-F) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions