Histological regional analysis of the aortic root and thoracic ascending aorta: a complete analysis of aneurysms from root to arch

Autor: Timothy Luke Surman, John Matthew Abrahams, Jim Manavis, John Finnie, Dermot O’Rourke, Karen Jane Reynolds, James Edwards, Michael George Worthington, John Beltrame
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Cardiothoracic Surgery, Vol 16, Iss 1, Pp 1-10 (2021)
Druh dokumentu: article
ISSN: 1749-8090
DOI: 10.1186/s13019-021-01641-5
Popis: Abstract Background Although aortic root and ascending aortic aneurysms are treated the same, they differ in embryological development and pathological processes. This study examines the microscopic structural differences between aortic root and ascending aortic aneurysms, correlating these features to the macroscopic pathophysiological processes. Methods We obtained surgical samples from ascending aortic aneurysms (n = 11), aortic root aneurysms (n = 3), and non-aneurysmal patients (n = 7), Aortic collagen and elastin content were examined via histological analysis, and immunohistochemistry techniques used to determine collagen I, III, and IV subtypes. Analysis was via observational features, and colour deconvolution quantification techniques. Results Elastin fiber disruption and fragmentation was the most extensive in the proximal aneurysmal regions. Medial fibrosis and collagen density increased in proximal aneurysmal regions and aortic root aneurysms (p
Databáze: Directory of Open Access Journals