Fibromuscular Dysplasia of the Aorta Presenting as Multiple Recurrent Thoracic Aneurysms
A 17-year-old boy, who had undergone resection of aortic coarctation with a large saccular aneurysm 10 years previously, developed recurrent aneurysms above and below the site of a Gore-Tex interposition graft. These were resected using femoral-femoral bypass, and the upper thoracic aorta was replaced with a Hemashield Dacron tube. Histology of the aorta showed fibromuscular dysplasia. In addition to aortic dissection and aortic rupture, such patients may be at risk of forming further aneurysms.
Radhi
JM
Department of Pathology, University of Saskatchewan and Royal University Hospital, Saskatoon, Saskatchewan, Canada
McKay
R
Tyrrell
MJ