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Inflammatory abdominal aortic aneurysms: A thirty-year review

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Presentation on theme: "Inflammatory abdominal aortic aneurysms: A thirty-year review"— Presentation transcript:

1 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 (November 1985) DOI: / (85) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

2 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, DOI: ( / (85) ) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

3 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, DOI: ( / (85) ) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

4 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, DOI: ( / (85) ) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

5 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, DOI: ( / (85) ) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

6 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, DOI: ( / (85) ) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

7 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, DOI: ( / (85) ) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

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

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

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