37 research outputs found
Crustal fault reactivation facilitating lithospheric folding/buckling in the central Indian Ocean
Fibromuscular dysplasia of aortic aneurysm vasa vasorum (a rare case report)
Aim. To describe a rare occurrence of ļ¬bromuscular vasa vasorum dysplasia of the aortic aneurysm wall.Materials and methods. Surgical material from the ascending aortic aneurysm wall was examined. Longitudinal strips of the aortic wall were excised for histological examination with subsequent 24-h ļ¬xation in 10% buffered formalin. A histological isopropanol assay was performed with an automated Logos microwave tissue processor (Milestone, Italy) with subsequent sample embedding into parafļ¬n. Sections were obtained with a rotary microtome (Leica, Germany). Staining was performed with haematoxylin-eosin, van Giesonās picrofuchsin, orcein for elastic ļ¬bres, Hotchkissā PAS reaction with alcian blue for glycosaminoglycans. Histological and histochemical properties of the aortic wall were studied and imaged with a Leica DM 1000 microscope (Germany) equipped with a camera ICC50 E at magniļ¬cations 40x, 100x, 200x, 400x.Results. The conducted histological examination of the aortic aneurysm wall revealed most pronounced changes in media and adventitia layers. Elastic ļ¬bres in media were swollen, homogeneous, crimped, with pronounced dystrophic and necrobiotic changes in smooth myocytes. Regions of compromised cells and elastic ļ¬bres in media contained pockets of alcian-positive glycosaminoglycans. Speciļ¬c changes were revealed in adventitia vasa vasorum in the form of a pronounced wall thickening and lumen narrowing due to dysplastic ļ¬bromuscular tissues.Conclusion. A rare form of ļ¬bromuscular dysplasia of the vasa vasorum of the ascending aortic aneurysm wall observed in a 43 years-old woman demonstrated the morbid morphology of smooth myocytes, as well as ļ¬brous collagenous and elastic structures. The described features were likely associated with the aortic wall trophic structure and aneurysm morphogenesis