Chronická disekujúca aneuryzma vzostupnej časti aorty s rozsiahlym intramurálnym trombom a izolovanými defektami v stene aorty
Authors:
Silvia Farkašová Iannaccone 1; Dorota Sopková 1; Marián Švajdler jr. 2; Daniel Farkaš 3; Lucia Mistríková 4; Roman Mezencev 5
Authors‘ workplace:
Department of Forensic Medicine, Faculty of Medicine, Pavol Jozef Šafárik University, Košice, Slovak Republic
1; Šikl’s Department of Pathology, Charles University, Medical Faculty Hospital, Pilsen, Czech Republic
2; Medico-Legal and Pathological-Anatomical Department of Health Care Surveillance Authority, Košice, Slovak Republic
3; Department of Heart Surgery, East Slovak Institute for Cardiovascular Diseases, Košice, Slovak Republic
4; School of Biological Sciences, Georgia Institute of Technology, Atlanta, GA, USA
5
Published in:
Čes.-slov. Patol., 55, 2019, No. 2, p. 115-119
Category:
Original Articles
Overview
V popisovanom prípade autori dokumentujú makroskopický a mikroskopický pitevný nález chronickej disekujúcej aneuryzmy vzostupnej časti aorty a aortálneho oblúka s izolovanými trhlinami v stene aorty bez jej prasknutia u 71-ročnej ženy s minimálnou klinickou symtomatológiou. Aneuryzmatické rozšírenie priesvitu aorty bolo podmienené nielen vyklenutím cievnej steny na základe prítomnosti organizovaného intramurálneho trombu, ale aj v dôsledku prítomnosti plošného defektu intimy a medie aorty so zachovaním celistvosti obvodu fibroticky zmenenou adventíciou. Histologicky bola v torakálnej aorte zistená cystická degenerácia medie s minimálnymi prejavmi aterosklerózy.
Klíčová slova:
disekujúca aneuryzma aorty – disekcia aorty – intramurálny trombus aorty – degenerácia medie – akumulácia mukoidnej extracelulárnej hmoty
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Anatomical pathology Forensic medical examiner ToxicologyArticle was published in
Czecho-Slovak Pathology
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