|
|
| Line 1: |
Line 1: |
| {{Template:Aortic aneurysm}}
| |
|
| |
|
| {{CMG}}
| |
|
| |
| '''Associate Editor-In-Chief:''' {{CZ}}
| |
|
| |
| ==Pathological Findings==
| |
|
| |
|
| |
| [http://www.peir.net Images shown below are courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology]
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 1.jpg|Dissecting Aneurysm: Gross very good example dissected channel has been opened
| |
| Image:Aortic aneurysm 2.jpg|Dissecting Aneurysm: Gross external view good appearance from adventitia
| |
| Image:Aortic aneurysm 3.jpg|Dissecting Aneurysm: Gross opened false channel
| |
| </gallery>
| |
| </div>
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 4.jpg|Dissecting Aneurysm: Gross good example dissection beginning at third portion aortic arch
| |
| Image:Aortic aneurysm 5.jpg|Dissecting Aneurysm: Gross cross sections showing thrombus in false lumen true lumen has been opened longitudinally
| |
| Image:Aortic aneurysm 6.jpg|Dissecting Aneurysm: Gross shows origin just above aortic valve false channel shown in descending thoracic aorta (very good example)
| |
| </gallery>
| |
| </div>
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 7.jpg|Atherosclerotic Aneurysm: Gross, a good example of typical abdominal aorta aneurysm with mural thrombus
| |
| Image:Aortic aneurysm 8.jpg|Dissecting Aneurysm: Gross, a very good example of dissection beginning just above aortic ring
| |
| Image:Aortic aneurysm 9.jpg|Atherosclerotic Aneurysm: Gross, (rather) good example of abdominal aortic aneurysm
| |
| </gallery>
| |
| </div>
| |
|
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 10.jpg|Dissecting Aneurysm: Gross, an excellent example, starting just above the aortic valve with reflection of aorta to show the dissection tract and some thrombus
| |
| Image:Aortic aneurysm 11.jpg|Dissecting Aneurysm: Gross shows dilated aorta with extensive atherosclerosis dissection is seen, a small abdominal aorta atherosclerotic aneurysm is present good for association of dilation with dissection
| |
| Image:Aortic aneurysm 12.jpg|Dissecting Aneurysm: Gross arrow points to start of dissection in first portion aortic arch good but not the best example shows dilation
| |
| </gallery>
| |
| </div>
| |
|
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 13.jpg|Dissecting Aneurysm: Gross, very good to show start of dissection above aortic valve and blood in false channel
| |
| Image:Aortic aneurysm 14.jpg|Dissecting Aneurysm: Gross, heart with root of aorta to show hemorrhage into pericardium (a very good example)
| |
| Image:Aortic aneurysm 15.jpg|Dissecting Aneurysm: Gross, of heart and aorta with dissection and large false channel (a good example)
| |
| </gallery>
| |
| </div>
| |
|
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 16.jpg|Dissecting Aneurysm: Gross cross section of aorta with two channels (a good example)
| |
| Image:Aortic aneurysm 17.jpg|Atherosclerotic Aneurysm: Gross, a nice view of cross section of abdominal aorta aneurysm
| |
| Image:Aortic aneurysm 18.jpg|Dissecting Aneurysm: Gross good example of typical angular tear above aortic valve
| |
| </gallery>
| |
| </div>
| |
|
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 19.jpg|Dissecting Aneurysm: Gross good example angular tear above aortic valve
| |
| Image:Aortic aneurysm 20.jpg|Atherosclerotic Aneurysm: Gross, external natural color very good example of an atherosclerotic thoracic aorta aneurysm with focal rupture
| |
| Image:Aortic aneurysm 21.jpg|Atherosclerotic Aneurysm: Gross, excellent color, opened thoracic segment of aorta with two saccular atherosclerotic ruptured aneurysms
| |
| </gallery>
| |
| </div>
| |
|
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 22.jpg|Atherosclerotic Aneurysm: Gross, an excellent example, natural color, external view of typical thoracic aortic aneurysms
| |
| Image:Aortic aneurysm 23.jpg|Atherosclerotic Aneurysm: Gross unopened lesion natural color
| |
| Image:Aortic aneurysm 24.jpg|Dissecting Aneurysm: Gross dissection first portion of arch fixed specimen (a good example)
| |
| </gallery>
| |
| </div>
| |
|
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 25.jpg|Dissecting Aneurysm: Gross, rather well shown dissection in first portion of the aortic arch
| |
| Image:Aortic aneurysm 26.jpg|Dissecting Aneurysm: Gross, rather well shown dissection in first portion of the aortic arch
| |
| Image:Aortic aneurysm 27.jpg|Dissecting Aneurysm: Gross, an excellent example of type I lesion
| |
| </gallery>
| |
| </div>
| |
|
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 28.jpg|Dissecting Aneurysm: Gross, external view, an excellent example
| |
| Image:Aortic aneurysm 29.jpg|Dissecting Aneurysm: Gross, Type I shows false channel
| |
| Image:Aortic aneurysm 30.jpg|Dissecting Aneurysm: Gross, opened to show false channel (good example)
| |
| </gallery>
| |
| </div>
| |
|
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 31.jpg|Atherosclerotic Aneurysm: Gross, very good example of ruptured thoracic segment
| |
| Image:Aortic aneurysm 32.jpg|Dissecting Aneurysm: Gross, coagulum of blood in false channel
| |
| Image:Aortic aneurysm 33.jpg|Dissecting Aneurysm: Gross, aortic valve area dissection (well shown, typical lesion)
| |
| </gallery>
| |
| </div>
| |
|
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 34.jpg|Abdominal Aneurysm Ruptured: Gross (good example) opened kidneys in marked place, atherosclerosis in lower thoracic aorta
| |
| Image:Aortic aneurysm 35.jpg|Abdominal Aneurysm: Gross, (very good example) opened lesion with mural thrombus
| |
| Image:Aortic aneurysm 36.jpg|Dissecting Aneurysm: Gross, large tear in first portion of aortic arch, annuloaortic ectasis
| |
| </gallery>
| |
| </div>
| |
|
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 37.jpg|Dissecting Aneurysm: Gross, external view of heart and first portion of aortic arch, annuloaortic ectasia, hemorrhage beneath adventitia is evidence of dissection
| |
| Image:Aortic aneurysm 38.jpg|Atherosclerotic Aneurysm Infected: Gross, infected abdominal aneurysm at superior suture line with rupture into duodenum
| |
| Image:Aortic aneurysm 39.jpg|Atherosclerotic Aneurysm: Gross, cross sections of repaired aneurysm showing Dacron graft and old mural thrombus. A nice example of fibrin layer in graft
| |
| </gallery>
| |
| </div>
| |
|
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 40.jpg|Ruptured Syphilitic Aneurysm
| |
| Image:Aortic aneurysm 41.jpg|Dissecting Aneurysm in a patient with [[Marfan's syndrome]]
| |
| Image:Aortic aneurysm 42.jpg|Traumatic Aneurysm
| |
| </gallery>
| |
| </div>
| |
|
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 43.jpg|Kidney: Arteriosclerosis: Gross aorta with well shown renal artery containing large plaque and kidney with multiple cortical scars and atrophy also abdominal aorta aneurysm with mural thrombus (excellent example for renovascular hypertension)
| |
| Image:Aortic aneurysm 44.jpg|Dissecting Aneurysm: Gross, fixed tissue, descending thoracic segment dissection opened to show the false channel. The true surface is also visible
| |
| Image:Aortic aneurysm 45.jpg|Aneurysm: Gross, ruptured thoracic aorta aneurysm, in situ lower thoracic portion (probably due to atherosclerosis)
| |
| </gallery>
| |
| </div>
| |
|
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 46.jpg|Abdominal Aneurysm Graft Repair: Gross, natural color, close-up view, an excellent example of Dacron graft that has been in place for years with pseudointima and atherosclerosis
| |
| Image:Aortic aneurysm 47.jpg|Dacron Graft: Gross, close-up Dacron graft to repair aneurysm. Aorta completely covered with a calcified and ulcerated plaque with small mural thrombi (an excellent depiction of proximal suture line)
| |
| Image:Aortic aneurysm 48.jpg|Dissecting Aneurysm: Gross natural color descending aorta opened into false channel
| |
| </gallery>
| |
| </div>
| |
|
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 49.jpg|Abdominal Aneurysm: Gross, natural color, unopened specimen with about a six centimeter aneurysm between renals and bifurcation (a very good example of opened aneurysm)
| |
| Image:Aortic aneurysm 50.jpg|Abdominal Aneurysm: Gross, natural color, an opened aneurysm showing quite well laminated thrombus
| |
| Image:Aortic aneurysm 51.jpg|Atherosclerosis with Mural Thrombi: Gross, natural color, a nice photo of descending thoracic aorta with extensive ulcerated plaques and mural thrombi in distal portion. The case also has an abdominal aneurysm
| |
| </gallery>
| |
| </div>
| |
|
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 52.jpg|Pseudoaneurysm Ruptured Into Duodenum: Gross natural color aorta and duodenum with arrow pointing to rupture point of aortobifemoral bypass pseudoaneurysm rupture and another in duodenum a very good demonstration of this very well known complication of aortic prostheses
| |
| Image:Aortic aneurysm 53.jpg|Abdominal Aneurysm: Gross, natural color, large aneurysm opened showing sessile calcified plaques with no mural thrombus. Lesion extends from renal arteries to the bifurcation (the same lesion seen externally with focus of rupture)
| |
| Image:Aortic aneurysm 54.jpg|Abdominal Aneurysm Ruptured: Gross, natural color, external view with large area of apparent rupture. Aorta is opened to show this aneurysm)
| |
| </gallery>
| |
| </div>
| |
|
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 55.jpg|Abdominal Aneurysm: Gross, natural color, unopened large and quite typical aneurysm extending from below renal arteries to bifurcation
| |
| Image:Aortic aneurysm 56.jpg|Abdominal Aneurysm: Gross, natural color, opened aneurysm with well shown and typical laminated thrombus (external view)
| |
| Image:Aortic aneurysm 57.jpg|Aortobifemoral Prosthesis: Gross, natural color, nice dissection showing Dacron prosthesis replacing abdominal segment of aorta with portion of atherosclerotic aneurysm with renal arteries and kidneys
| |
| </gallery>
| |
| </div>
| |
|
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 58.jpg|Aortobifemoral Prosthesis: Gross natural color close-up view of nicely dissected prosthesis extending from below renals to common iliac arteries portion of atherosclerotic aneurysm behind prosthesis
| |
| Image:Aortic aneurysm 59.jpg|Dissecting Aneurysm: Gross natural color close-up view of aortic valve and proximal aortic arch with ruptured intima rather good illustration of this lesion
| |
| Image:Aortic aneurysm 60.jpg|Syphilitic Aneurysm: Gross natural color rather a close-up view and outstanding photo of aneurysm ruptured into the left main stem bronchus
| |
| </gallery>
| |
| </div>
| |
|
| |
|
| |
|
| |
| <div align="left">
| |
| <gallery heights="175" widths="175">
| |
| Image:Aortic aneurysm 61.jpg|Syphilitic Aneurysm: Gross natural color typical tree barking in aorta aneurysm opening is seen in which is a thrombus aneurysm ruptured into left main stem bronchus (shown very well)
| |
| Image:Aortic aneurysm 62.jpg|Dissecting Aneurysm Chronic: Gross natural color first portion of aortic arch with intimal rent well shown with healed margins and view into false channel that shows a surface looking like atherosclerosis which is known to develop in a chronic dissection
| |
| Image:Aortic aneurysm 63.jpg|Dissecting Aneurysm Chronic: Gross, natural color, closer view of the previous one (a very good example)
| |
| </gallery>
| |
| </div>
| |
|
| |
| ==References==
| |
| {{Reflist|2}}
| |
|
| |
|
| |
| {{Circulatory system pathology}}
| |
| [[Category:Vascular surgery]]
| |
| [[Category:Cardiology]]
| |
| [[Category:Emergency medicine]]
| |
|
| |
| [[es:Aneurisma de aorta]]
| |
| [[it:Aneurisma aortico]]
| |
| [[pl:Tętniak aorty]]
| |
| [[fi:Aortta-aneurysma]]
| |
|
| |
| {{WH}}
| |
| {{WS}}
| |