Lamellar bone formation in an atherosclerotic plaque of the carotid artery, with a review of histogenesis--a case report.
Longer existing atherosclerotic lesions may contain calcifications; lamellar bone rarely develops within them. A 59-year-old man was referred with a progressive stroke. A high-grade stenosis of the left common carotid artery, formed by an ulcerating atherosclerotic plaque with a free-floating thrombus, was detected on angiography. An urgent endarterectomy was performed. Surprisingly this plaque contained pieces of lamellar bone, proved by histologic examination.
Pauli
S
S
Division of Thoracic and Vascular Surgery, University Hospital of Antwerp, Edegem, Belgium.
Lauwers
P
P
Van Schil
P
P
Hendriks
J
J
Van den Brande
F
F
Bogers
J P
JP
Van Marck
E
E
Eyskens
E
E
D000792:Angiography; D001161:Arteriosclerosis / Q000150:complications*; D002114:Calcinosis / Q000209:etiology; D002340:Carotid Artery Diseases / Q000209:etiology* / Q000473:pathology; D002341:Carotid Artery Thrombosis / Q000209:etiology; D016893:Carotid Stenosis / Q000150:complications*; D016894:Endarterectomy, Carotid; D006801:Humans; D008297:Male; D008875:Middle Aged; D009999:Ossification, Heterotopic / Q000209:etiology* / Q000473:pathology; D020521:Stroke / Q000209:etiology