Cvejin B, Vucković D
Medicinski fakultet, Institut za plućne bolesti i tuberkulozu, Novi Sad.
Med Pregl. 1994 Jan-Feb;47(1-2):17-21.
33 autopsy cases of dissecting aneurysms of aorta were analyzed to find out the frequency, localization, macroscopic appearance, histological changes and causes of death. On the basis of disturbed appearance and orientation of elastic muscular elements of tunica media aortae, existing cystic spaces, areas of fibrosis and increase of mucoid basic substance in media as well as the severity of atherosclerotic changes, we classified our cases into familiar morentities which are connected with the origin of dissecting aneurysms of aorta (cystic medionecrosis, "noninflammatory aortopathy", atherosclerosis hypoplasia). In the third part of all cases media aortae contains areas similar to those of infarct, which could, considering the absence of cellular reaction, be corresponding with ischemic phenomena which directly preceded the genesis of dissection of aorta.
对33例主动脉夹层动脉瘤尸检病例进行分析，以明确其发生频率、部位、大体外观、组织学变化及死因。根据主动脉中膜弹性肌成分外观和排列紊乱、存在囊性间隙、中膜纤维化区域、黏液样基质增加以及动脉粥样硬化改变的严重程度，我们将病例分为与主动脉夹层动脉瘤起源相关的常见实体（囊性中膜坏死、“非炎性主动脉病”、动脉粥样硬化发育不全）。在所有病例的第三部分中，主动脉中膜含有类似于梗死灶的区域，考虑到缺乏细胞反应，这可能与主动脉夹层形成之前直接发生的缺血现象相对应。
