Atherosclerotic aneurysm formation in an in situ saphenous vein graft

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Presentation transcript:

Atherosclerotic aneurysm formation in an in situ saphenous vein graft J.Jeffrey Alexander, MD, Yao-Chang Liu, MD Journal of Vascular Surgery Volume 20, Issue 4, Pages 660-664 (October 1994) DOI: 10.1016/0741-5214(94)90293-3 Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Vein graft aneurysm with dilation and gross atherosclerotic involvement of proximal vein (right) and mural thrombus within aneurysm. Journal of Vascular Surgery 1994 20, 660-664DOI: (10.1016/0741-5214(94)90293-3) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Graft vessel demonstrates severe atherosclerotic change. Overlying atheromatous plaque shows focal calcification and is covered by a fibrous cap. (Movat's stain; original magnification × 20.) Journal of Vascular Surgery 1994 20, 660-664DOI: (10.1016/0741-5214(94)90293-3) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Thickened intima is extensively altered by cholesterol deposits, calcification, and focal thrombus formation. Fragmented and atrophic medial layer is separated from atheromatous plaque by proliferating fibrous connective tissue. (Movat's stain; original magnification × 30.) Journal of Vascular Surgery 1994 20, 660-664DOI: (10.1016/0741-5214(94)90293-3) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions