title: Dissecting thoracic aorta and fusiform aneurysm of the abdominal aorta.
abstract: A 59-year-old woman with dissection of the thoracic aorta and a fusiform aneurysm of the abdominal aorta without evidence of Marfan's syndrome underwent aneurysmorrhaphy with a bifurcated expanded polytetrafluoroethylene graft. Histological specimens of the aneurysmal wall revealed the presence of idiopathic cystic medial necrosis. As typical findings of idiopathic cystic medial necrosis in the aortic wall are very rare except in cases of Marfan's syndrome, the present case is reported and the implications of this condition are discussed.
authors.affiliation: Department of Surgery II, Osaka University Medical School, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Kawasaki
authors.forename: J
authors.initials: J
authors.lastname: Kambayashi
authors.forename: K
authors.initials: K
authors.lastname: Goda
authors.forename: J
authors.initials: J
authors.lastname: Kang
authors.forename: M
authors.initials: M
authors.lastname: Watase
authors.forename: Y
authors.initials: Y
authors.lastname: Tsuji
authors.forename: K
authors.initials: K
authors.lastname: Shinozaki
authors.forename: T
authors.initials: T
authors.lastname: Iwazawa
authors.forename: H
authors.initials: H
authors.lastname: Fukuda
authors.forename: M
authors.initials: M
authors.lastname: Miyamoto
mesh_terms: D000784:Aortic Dissection / Q000473:pathology / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000473:pathology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000473:pathology / Q000601:surgery*; D001027:Aortography; D001807:Blood Vessel Prosthesis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D009336:Necrosis; D011138:Polytetrafluoroethylene; D013589:Syphilis, Cardiovascular / Q000473:pathology / Q000601:surgery; D017540:Tunica Media / Q000473:pathology
chemical_list: D011138:Polytetrafluoroethylene