AN AUTOPSY CASE OF THE THORACIC AND ABDOMINAL A ORTIC ANEURYSMS DESTRUCTING THE VERTEBRAE, WITH DEFECT OF THEIR POSTERIOR WALLS
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概要
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1) Two true aortic aneurysms which destructed the vertebrae were observed in an autopsy case of a 62 years old male, who died of apoplectic cerebral hemorrahge.<BR>2) These aneurysms were found at the posterior wall of the descending thoracic aorta and of the abdominal aorta, respectively, and bath were saccular and fist-sized. The thoracic aneurysm was adhered to the bodies of the 5th, 6th and 7th thoracic vertebrae, and the abdominal aneurysm to the 11th, 12th thoracic and 1st lumbal vertebrae. In the both regions, the adherent vertebral bodies were markedly destructed and the posterior wall of the aneurysms was defected, so that the bone marrow of the vertebral bodies were exposed to the lumen of the aneurysms. Rupture of the aneurysms was not seen.<BR>3) Histologically, marked syphilitic mesoaortitis and arteriosclerosis of the aorta were noticed, and both of them caused the aneurysms.<BR>4) In the intima of the aorta, not only old arteriosclerotic lesions such as intimal hyalino-fibrosis, but also early changes, that is, intimal edema, swelling, fibrinoid degeneration, and dissolution of the newly formed elastic fibers and of calcium deposits, were noticed.
- 北関東医学会の論文
北関東医学会 | 論文
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