Inflammatory abdominal aortic aneurysms: A thirty-year review

Slides:

Advertisements

Similar presentations

Nondissecting aneurysm of the thoracic aorta with arteritis in systemic lupus erythematosus Hisato Takagi, MD, PhDa, Yoshio Mori, MD, PhDa, Hisashi Iwata,

Advertisements

Large renal artery aneurysm in Takayasu arteritis

Penetrating atherosclerotic ulcers of the thoracic aorta

Feasibility of transgastric ultrasonography of the abdominal aorta

Late survival in abdominal aortic aneurysm patients: The role of selective myocardial revascularization on the basis of clinical symptoms Martha M. Reigel,

Graft-related complications after abdominal aortic aneurysm repair: Reassurance from a 36-year population-based experience John W. Hallett, MD, Donna.

Fetal internal iliac artery: Case report and embryologic review

Immunoglobulin G4-related multiple cardiovascular lesions successfully treated with a combination of open surgery and corticosteroid therapy Meikun Kan-o,

Gastroesophageal tumor embolization to the popliteal arteries

The accuracy of CT scanning in the diagnosis of abdominal and thoracoabdominal aortic aneurysms George J. Todd, MD, Roman Nowygrod, MD, Alan Benvenisty,

Composite graft replacement after aortic valvuloplasty in Takayasu arteritis Hideyuki Harada, MD, Yukiko Honma, MD, Yoshikazu Hachiro, MD, Tohru Mawatari,

Intravascular ultrasonography allows accurate assessment of abdominal aortic aneurysm: An in vitro validation study Jeroen A. van Essen, MD, Aad van.

Infected renal artery pseudoaneurysm and mycotic aortic aneurysm after percutaneous transluminal renal artery angioplasty and stent placement in a patient.

Atherosclerotic aneurysm formation in an in situ saphenous vein graft

A clinicopathologic study of immunoglobulin G4-related disease of the femoral and popliteal arteries in the spectrum of immunoglobulin G4-related periarteritis

Type IV thoracoabdominal aortic aneurysm with lymphoplasmacytic aortitis and cystic medial degeneration in a 32-year-old patient with Marfan syndrome

Aortic aneurysms in children and young adults with tuberous sclerosis: Report of two cases and review of the literature Corey J. Jost, MDa, Peter Gloviczki,

Feasibility of transgastric ultrasonography of the abdominal aorta

In situ localization and quantification of seventy-two – kilodalton type IV collagenase in aneurysmal, occlusive, and normal aorta William D. McMillan,

Dennis R. Holmes, MD, William Wester, BA, Robert W

Malcolm O. Perry, MD, Richard Kempczinski, MD

Adventitial elastolysis is a primary event in aneurysm formation

Conformational stress and anastomotic hyperplasia

John S. Cargile, M. D. , Daniel F. Fisher, M. D. , Dennis K. Burns, M

Inflammatory abdominal aortic aneurysms: A case-control study

The temporal relationship between the development of vein graft intimal hyperplasia and growth factor gene expression John R. Hoch, MD, Vida K. Stark,

Mesoportal bypass: A unique operation for mesenteric hypertension

James E. Chapman, M.D., William Allen Loy, M.D.

Inflammatory aneurysms of the aorta

Penetrating ulcer of the thoracic aorta: What is it

Ruptured ovarian artery aneurysm: A case report

De novo renal artery aneurysm presenting 6 years after transplantation: A complication of recurrent arterial stenosis? Shelby H. Burkey, MD, Miguel A.

Occult active giant cell aortitis necessitating surgical repair

Dissection of the external iliac artery in highly trained athletes

Penetrating atherosclerotic ulcers of the thoracic aorta

Clifford M. Sales, MD, Michael L. Marin, MD, Frank J

A new clinicopathological entity of IgG4-related inflammatory abdominal aortic aneurysm Satomi Kasashima, MD, PhD, Yoh Zen, MD, PhD, Atsuhiro Kawashima,

Glenn C. Hunter, MD, Stephen H. Smyth, MD, Marie L. Aguirre, MD, B

William Fiore, M. D. , Thomas E. Penn, M. D. , Timothy Quill, M. D

Surgical treatment of recurrent abdominal aortic aneurysm in a patient with systemic lupus erythematosus Naoki Washiyama, MDa, Teruhisa Kazui, MDa, Makoto.

Multiple idiopathic arterial aneurysms in children: A case report and review of the literature Vivienne Halpern, MD, James O'Connor, MD, Marianne Murello,

Impact of endothelial cell seeding on long-term patency and subendothelial proliferation in a small-caliber highly porous polytetrafluoroethylene graft

James M. Wong, MDa, Michelle A

Jae-Sung Cho, MD, Peter Gloviczki, MD, Eugenio Martelli, MD, W

Primary leiomyosarcoma of the abdominal aorta

Intraabdominal hemorrhage as a result of segmental mediolytic arteritis of an omental artery: Case report Dianne M. Heritz, MD *, Jagdish Butany, MD,

Carotid endarterectomy with homologous vein patch angioplasty: A review of 1006 cases Konstadinos A. Plestis, MD, George Kantis, MS, Kenneth Haygood,

Janet J. Chieh, BSa, Lucy S. Brevetti, MDb, Peter M

The occluded renal artery: Durability of revascularization

Angioscope-assisted occlusion of venous tributaries with prolamine in in situ femoropopliteal bypass: Preliminary results of canine experiments John.

Human saphenous vein allograft bypass grafts: Immune response

Ann L. Peick, MD. , W. Kirt Nichols, MD, Jack J

Ramesh Lokanathan, MD, FRCS(C), David C. Taylor, MD, FRCS(C)

Thoracoabdominal aortic aneurysm in Cogan’s syndrome

Molecular diagnosis of nonaneurysmal infectious aortitis

Differential effects of a gram-negative and a gram-positive infection on autogenous and prosthetic grafts Kevin J. Geary, MD, Zygmunt M. Tomkiewicz,

Aortic blebs: Possible site of aneurysm rupture

Renovascular operations in patients with chronic renal insufficiency: Do the benefits justify the risks? John W. Hallett, M.D., Richard Fowl, M.D., Peter.

J. V. Robbs, Ch. M. , F. R. C. S. , R. R. Human, F. C. S. (S. A. ), P

Renal failure after embolization of a prosthetic mitral valve disc and review of systemic disc embolization Thomas H. Schwarcz, M.D., Laurence H. Coffin,

Surgical repair of visceral artery occlusions in Takayasu's disease

Surgical procedures in the management of Takayasu's arteritis

Critical hand ischemia caused by forearm fibromuscular dysplasia

Malignant fibrous histiocytoma of the aorta

Inflammatory abdominal aortic aneurysm: A postoperative course of retroperitoneal fibrosis Uwe von Fritschen, MD, Ernst Malzfeld, MD, Anja Clasen, MD,

Innominate artery trauma: A thirty-year experience

Popliteal entrapment syndrome: A report of tibial nerve entrapment

Kenji Sakai, MD, Taiju Watanabe, MD, PhD, Tetsuya Yoshida, MD, PhD

Endovascular repair of two abdominal aortic aneurysms

Cornelius A. Sullivan, MD, Michael J. Rohrer, MD, Bruce S. Cutler, MD

Presentation transcript:

Inflammatory abdominal aortic aneurysms: A thirty-year review Richard C. Pennell, M.D., Larry H. Hollier, M.D., J.T. Lie, M.D., Philip E. Bernatz, M.D., John W. Joyce, M.D., Peter C. Pairolero, M.D., Kenneth J. Cherry, M.D., John W. Hallett, M.D. Journal of Vascular Surgery Volume 2, Issue 6, Pages 859-869 (November 1985) DOI: 10.1016/0741-5214(85)90135-1 Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 CT scan demonstrating inflammatory aortic aneurysm with horseshoe-shaped, thick wall located anteriorly and laterally and lying outside rim of calcification seen from 12 o'clock to 3 o'clock. Journal of Vascular Surgery 1985 2, 859-869DOI: (10.1016/0741-5214(85)90135-1) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Ultrasound of patient in Fig. 1 at same anatomic level. Sonolucent halo (large arrows) is clearly seen outside rim of aortic intimal calcification (small arrow) and represents thickness of aneurysm wall. Journal of Vascular Surgery 1985 2, 859-869DOI: (10.1016/0741-5214(85)90135-1) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 A, Low-power scanning view of wall of inflammatory aortic aneurysm showing ulcerated intima, atrophic media, and markedly thickened adventitia. Outer limit of adventitial fibrosis extends vertically beyond lower edge of this photomicrograph. Note scattered throughout media and adventitia are bands and clusters of lymphoplasmacytic inflammatory infiltrate. B, High-power close-up view of boxed area in A, showing entrapment of nerves (N) and adjacent inflammatory infiltrate in dense periaortic fibrous tissue. (Hematoxylin-eosin stain; original magnification, A, × 16; B, × 160.) Journal of Vascular Surgery 1985 2, 859-869DOI: (10.1016/0741-5214(85)90135-1) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 A, Low-power view of wall of inflammatory abdominal aortic aneurysm, showing diffuse adventitial fibrosis with lymphoplasmacytic infiltrate. B, Close-up view of boxed area in A, showing endarteritis and phlebitis of small artery and vein in periaortic fibrous tissue. (Hematoxylin-eosin stain; original magnification, A, × 40; B, × 160.) Journal of Vascular Surgery 1985 2, 859-869DOI: (10.1016/0741-5214(85)90135-1) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 A, Low-magnification photomicrograph of aortic wall of inflammatory aneurysm with dense granulomatous lymphoplasmacytic infiltrates (LP), mimicking involvement of aorta in Takayasu's arteritis and giant cell arteritis. B, High-magnification view of multinucleate giant cell (arrow) in midst of lymphocytes and plasma cells. (Hematoxylin-eosin stain; original magnification, A, × 16; B, × 400.) Journal of Vascular Surgery 1985 2, 859-869DOI: (10.1016/0741-5214(85)90135-1) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 6 Schematic comparison of wall of normal aorta, atherosclerotic abdominal aortic aneurysm (AAA), and inflammatory AAA to highlight differences in contribution of intima, media, and adventitia to wall thickness and presence of inflammatory infiltrate. Journal of Vascular Surgery 1985 2, 859-869DOI: (10.1016/0741-5214(85)90135-1) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 7 Decade by decade, comparison of long-term survival of patients with inflammatory aneurysms. Journal of Vascular Surgery 1985 2, 859-869DOI: (10.1016/0741-5214(85)90135-1) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 8 Comparison of long-term survival between ordinary and inflammatory aneurysms. Journal of Vascular Surgery 1985 2, 859-869DOI: (10.1016/0741-5214(85)90135-1) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions