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

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Presentation transcript:

Multiple isolated aneurysms in a case of “burned out” Takayasu aortitis Janet J. Chieh, BSa, Lucy S. Brevetti, MDb, Peter M. Scholz, MDc, Alan M. Graham, MDb, Rocco G. Ciocca, MDb Journal of Vascular Surgery Volume 37, Issue 5, Pages 1094-1097 (May 2003) DOI: 10.1067/mva.2003.158 Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 A and B, Chest radiographic and MRA findings. A, Anteroposterior chest radiograph demonstrates substantial aortic dilatation of the descending aorta. B, Three-dimensional reconstruction of MRA demonstrates isolated thoracic and abdominal aortic aneurysms extending from the origin of the left subclavian artery to the iliac bifurcation (posteroanterior projection). Journal of Vascular Surgery 2003 37, 1094-1097DOI: (10.1067/mva.2003.158) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 A and B, CT findings. A, Chest CT demonstrates 8.5 cm TAA (A). H, heart. B, Abdominal CT demonstrates 4.4 cm infrarenal AAA (A). Journal of Vascular Surgery 2003 37, 1094-1097DOI: (10.1067/mva.2003.158) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 A-D, Pathohistologic findings of thoracic aorta. A, Low power view of the thoracic aorta shows marked intimal fibrosis. There is also extensive medial elastic degeneration and fragmentation, with increased collagen (Von Verhoeff stain, ×20). L, lumen; I, intima; M, media; A, adventitia. B, High-power view of Fig 2, A demonstrates scattered, fragmented elastic fibers (arrows) (Von Verhoeff stain, ×100). C, Low power view of thickened adventitia demonstrates common features of “burned out” TA, ie, irregular fibrosis and patchy collections of lymphocytes and plasma cells (hematoxylin-eosin stain, ×40). Arrows, vasa vasora. D, High power view of Fig 2, C demonstrates chronic perivasculitis with sparse infiltrate of mononuclear cells surrounding vasa vasora (hematoxylin-eosin stain, ×400). a, arteriole; arrow, venule. Journal of Vascular Surgery 2003 37, 1094-1097DOI: (10.1067/mva.2003.158) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions