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Hypoplasia and fibromuscular dysplasia of infrarenal abdominal aorta with downstream aneurysm: Case report and review of the literature  Attilio Odero,

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Presentation on theme: "Hypoplasia and fibromuscular dysplasia of infrarenal abdominal aorta with downstream aneurysm: Case report and review of the literature  Attilio Odero,"— Presentation transcript:

1 Hypoplasia and fibromuscular dysplasia of infrarenal abdominal aorta with downstream aneurysm: Case report and review of the literature  Attilio Odero, MD, Antonio Bozzani, MD, Vittorio Arici, MD, Manuela Agozzino, MD  Journal of Vascular Surgery  Volume 48, Issue 6, Pages (December 2008) DOI: /j.jvs Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 A, Aortography and (B) computed tomography scans show an infrarenal abdominal aortic aneurysm with juxtarenal aortic hypoplasia, without renal arteries involvement. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Intraoperative images show the hypoplastic juxtarenal abdominal aorta, without evidence of inflammatory changes in the periaortic tissues. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Photomicrographs show histopathologic features observed in the respected segment of aortic hypoplasia. A-D, The tunica media (M) shows a severe loss of elastic fibers (black), fibrous substitution (green), and residual smooth muscle cells (darker red), as well as fibrous intimal hyperplasia (blue-green). The intima (I) shows fibrous hyperplasia. The extent of the histologic changes was variable, with large areas nearly devoid of elastic fibers and areas with more evident residual elastic fibers, mostly fragmented. Panels A and B show different areas, at a low magnification view, of the tunica media and intima. Panels C and D show a higher magnification view of the tunica media, with abundant fibrous tissue, fragmented elastic fibers and a short tract of residual internal elastic lamina (IEL, arrow). E and F, Focal area of the sample with more preserved elastic fibers and minimal intimal hyperplasia is shown (F shows a higher-magnified view of the squared area of E). Movat pentachrome stain. Original magnification ×50, A and E; ×100, B and F; and ×200, C and D. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

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