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

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Presentation transcript:

Type IV thoracoabdominal aortic aneurysm with lymphoplasmacytic aortitis and cystic medial degeneration in a 32-year-old patient with Marfan syndrome Fernando Cordera, MD, Juan M. Bowen, MD, Marie-Christine Aubry, MD, Peter Gloviczki, MD Journal of Vascular Surgery Volume 42, Issue 1, Pages 168-171 (July 2005) DOI: 10.1016/j.jvs.2005.03.033 Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 Intraoperative image illustrates the bifurcated, gelatin-coated polyester graft from the level of the diaphragm to both mid common iliac arteries. Journal of Vascular Surgery 2005 42, 168-171DOI: (10.1016/j.jvs.2005.03.033) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 2 Intermediate power photomicrograph illustrates the diffuse loss of the medial elastic fibers, not limited to areas of medial inflammation (Verhoeff-van Gieson stain, ×100). Journal of Vascular Surgery 2005 42, 168-171DOI: (10.1016/j.jvs.2005.03.033) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 3 Multiple scattered foci of medial inflammation composed mainly of lymphocytes, plasma cells, and histiocytes without multinucleated giant cells are also identified, defining lymphoplasmacytic aortitis (hematoxylin and eosin, ×200). Journal of Vascular Surgery 2005 42, 168-171DOI: (10.1016/j.jvs.2005.03.033) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions