Multiple Cardiovascular Complications in a Patient With Relapsing Polychondritis Simone N. Barretto, MD, Guilherme H. Oliveira, MD, Clement J. Michet, MD, Mark A. Nyman, MD, William D. Edwards, MD, Iftikhar J. Kullo, MD Mayo Clinic Proceedings Volume 77, Issue 9, Pages 971-974 (September 2002) DOI: 10.4065/77.9.971 Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions
Figure 1 Contrast-enhanced computed tomogram of the chest and abdomen. Top, Fusiform dilatation of the left main (black arrow), left anterior descending, and circumflex (white arrows) coronary arteries. Middle, Wall thickening of the abdominal aorta (black arrow). Bottom, Ectasia and wall thickening of the common femoral arteries (white arrows) and occlusion of the right common femoral artery (black arrow). Mayo Clinic Proceedings 2002 77, 971-974DOI: (10.4065/77.9.971) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions
Figure 2 Angiograms. Top, Coronary angiogram (right anterior oblique, caudal view) showing a fusiform dilatation of the left main, left anterior descending, and circumflex coronary arteries. Middle, Aortogram showing ectasia and tortuosity of the lower descending thoracic and upper abdominal aorta. Bottom, Aortogram showing occlusion of the right common and external iliac arteries (upper black arrow). Also noted is a high-grade stenosis of the proximal left external iliac artery (lower black arrow) and an aneurysm of the left common femoral artery (white arrow). Mayo Clinic Proceedings 2002 77, 971-974DOI: (10.4065/77.9.971) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions
Figure 3 Photomicrographs of aortic tissue resected at the time of aortobifemoral bypass. Left, Low-power view showing chronic medial destruction and fibrosis (Verhoeff-van Gieson, original magnification x60). Right, High-power view showing medial lymphocytic infiltrate (hematoxylin-eosin, original magnification x400). Mayo Clinic Proceedings 2002 77, 971-974DOI: (10.4065/77.9.971) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions