Renal artery aneurysm formation secondary to pseudoxanthoma elasticum

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Renal artery aneurysm formation secondary to pseudoxanthoma elasticum Lyn Zimmo, MBBS, Nung Rudarakanchana, PhD, MRCS, Mary Thompson, MD, FRCPath, Mohamad S. Hamady, FRCR, Nicholas J.W. Cheshire, MD, FRCS, Colin D. Bicknell, MD, FRCS Journal of Vascular Surgery Volume 57, Issue 3, Pages 842-844 (March 2013) DOI: 10.1016/j.jvs.2012.09.016 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Magnetic resonance imaging reconstruction showing a saccular left renal artery aneurysm (maximum diameter, 1.8 cm) in a patient with pseudoxanthoma elasticum (PXE). RA, Right posterior-anterior. Journal of Vascular Surgery 2013 57, 842-844DOI: (10.1016/j.jvs.2012.09.016) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 Low-power photograph of the aneurysm wall showing replacement of the normal structure by fibrosis and focal amorphous calcification (elastic van Gieson stain; original magnification, ×4). Journal of Vascular Surgery 2013 57, 842-844DOI: (10.1016/j.jvs.2012.09.016) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 High-power photograph of the renal artery adjacent to the aneurysm showing preservation of both internal and external elastic laminae (black). However, between the two is a decreased number of elastic fibers in the media, and the elastic fibers are thin and disorganized (white arrow) (elastic van Gieson stain; original magnification, ×20). Journal of Vascular Surgery 2013 57, 842-844DOI: (10.1016/j.jvs.2012.09.016) Copyright © 2013 Society for Vascular Surgery Terms and Conditions