Histomorphological characteristics of aorta and heart valves in patients with Marfan syndrome and Erdheim disease
Abstract In the article patients with Marfan syndrome and Erdheim disease are described. Despite the differences in etiological factors and variety of clinical symptoms, the morphogenesis of aortic aneurysm in both groups of patients is similar. Aneurysm development is caused by pathological structure of the aortic layer. The identified morphological characteristics in these pathologies may be an the additional criteria for choosing the method, extent and radicality of surgical treatment of aortic aneurysm.
Keywords:Marfan syndrome, Erdheim disease, connective tissue disorder, valvular tissue disorder, morphological characteristics
Clin. Experiment. Surg. Petrovsky J. 2015. № 2. Р. 25–32.
References
1. Kotovskaya E.S., Mazayev E.P., Zhdanova S.M. Cardiovascular diseases and connective tissue disorders. Moscow, 1993: 1–8. (in Russian)
2. Yakovlev Yu.M., Nechayeva G.I., Viktorova I.A. Congenital connective tissue disorders [Abstract book], Omsk, 1990: 3–5. (in Russian)
3. Boudoulas H., Kolibach A., Baker P. Am Heart J. 1989; Vol. 118, N 4: 796–818.
4. Pyeritz R.E. Connective tissue and its heritable disorders: molecular, genetic, and medical aspects. Еds P.M. Royce, B. Steinmann. New York, 1993: 645–9.
5. Lizunova O.V., Musiyenko E.B. Diagnostic value of metabolic activity evaluation in identification of different forms of mitral valve prolapse in children. Leningrad, 1987. (in Russian)
6. Mashiko K., Tanaka K., Naganuma H. Graft replacement of transverse aortic arch using the arch vessels first technique. Kyobu Geka. 2000; Vol. 53: 837–40.
7. Langley S., Rooney S., Dalrymple-Hay M., Spencer J. Replacement of the proximal aorta and aortic valve using a composite bile aflet prosthesis and gelatin-impregnated polyster graft (carbo-seal): early results in 143 patients. J Thorac Cardiovasc Surg. 1999; Vol. 118: 1014–20.
8. Liu D.W., Lin P.G., Chang C.H. Treatment of acute type A aortic dissection with intraluminal sutureless prosthesis. Ann. Thorac. Surg. 1994; Vol. 57: 987–91.
9. Gott V.L., Pyeritz R.E., Magovern G.J. Surgical treatment of aneurysms of the ascending aorta in the Marfan syndrom. Results of composite-graft repair in 50 patients. N Engl J Med. 1986; Vol. 314: 1070.
10. Lemole G.M., Strong M.D., Spagna P.M. Improved results for dissecting aneurysms intraluminal sutureless prosthesis. J Thorac Cardiovasc Surg. 1982; Vol. 83: 249–55.
11. Soborov M.A. Conduit in aortic aneurysm surgery: Diss. Moscow; 1995; 151 р. (in Russian)
12. Gzell O. Virchows Arch Pathol Anat. 1928; Bd 270: 1–36.
13. Erdheim J. Virchows Arch. Path. Anat. 1929; Bd 273: 459.
14. Trotter S.E., Olsen E.G. Eur. Heart J. 1991; Vol. 12, N 1: 83–7.
15. Tamura K. Kyobu Geka. 2002; Vol. 55, N 8. Suppl: 616–22.
16. Cucina A., Borreli V., et al. J Surg Res. 2003; Vol. 109, N 1: 16–23.
17. Sakomura Y., Nagashiva H., Aoka Y., et al. Circulation. 2002; Vol. 106: 1259–63.
18. Klima T., Spjut H.J., Coelho A., Gray A.G., et al. Hum Pathol. 1983; Vol. 14, N 9: 810–7.
19. Leu H.J. Schweiz. Med. Wochenschr. 1988; Vol. 118, N 18: 687–91.
20. Stehbens W.E. Acta Anat. (Basel). 1996; Vol. 157, N 4: 261–74.
21. Bunton T.E., Biery N.J., Myers L., et al. Circ Res. 2001; Vol. 88, N 1: 37–43.
22. Dilley R.J., McGeachie J.H., Pundergast F.J. Atherosclerosis. 1987; Vol. 63: 99–107.
23. Maeso Madronero J.L., Aretz S., Theis U., Morgenroth K., et al. Dtsch. Med. Wochenschr. 2000; Vol. 125, N 40: 1195–8.
24. Larson E.W., Edwards W.D. Risk factors for aortic dissection: a necropsy study of 161 cases. Am J Cardiol. 1984; Vol. 53: 849.
25. Nakashima Y., Chen Y.X., Kinukawa N., Sueishi K. Virhows Arch. 2002; Vol. 441, N 3: 279–88.
26. Kita Y., Nakamura K., Itoh H. Acta Pathol Jpn. 1990; Vol. 40, N 6: 408–16.
27. Ross R.N. N Engl J Med. 1986; Vol. 314: 468–500.
28. Andreyeva E.R., Mikhailova I.A., Pugach I.M., Orekhov A.H Angiologiya i sosudistaya khirurgiya [Angiology and vascular surgery]. 1999; Vol. 5: 6–26. (in Russian)