James M. Wong, MDa, Michelle A

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Presentation transcript:

A subclavian artery aneurysm in a patient with HIV infection: A case report James M. Wong, MDa, Michelle A. Shermak, MDb, Tarik Tihan, MD, PhDc, Calvin E. Jones, MDa Journal of Vascular Surgery Volume 35, Issue 5, Pages 1-4 (May 2002) DOI: 10.1067/mva.2002.121125 Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Two views of arch aortogram show enhancing mass arising from proximal right subclavian artery. Notice there are no other aneurysms involving arch vessels. In addition, right vertebral artery is dominant. Journal of Vascular Surgery 2002 35, 1-4DOI: (10.1067/mva.2002.121125) Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 Histologic features of aneurysm wall. a, Low-power magnification shows markedly thickened intimal layer (I) with subintimal hemorrhage in vicinity of internal elastic lamina (white arrow). Note destruction of internal elastic lamina in this region. Adventitia (A) and periadventitial soft tissue show collections of lymphoplasmacytic inflammatory infiltrates (black arrow; hematoxylin-eosin stain, 50×). b, High-power magnification view of lymphoplasmacytic infiltrate within aneurysm wall (hematoxylin-eosin stain, 100×). c, Immunohistochemical stains for T-cell markers (CD3) show predominantly T lymphocytic population (100×). Journal of Vascular Surgery 2002 35, 1-4DOI: (10.1067/mva.2002.121125) Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions