Abstract
In this literature review, the issues of histology and pathogenesis of idiopathic cystic medionecrosis. We consider complications such as aneurysms and dissecting aortic aneurysm. Possible features of clinic, diagnostics and treatment of the above complications caused by idiopathic cystic medionecrosis. Materials review based on an analysis of research and publications of clinical cases, according to the largest international database of medical data.
References
- Zerbino D.D., Kuzyk Yu.I., Gavrylyuk E.M. Syndrome Gsell–Erdheim: main pathological changes. Arkhiv patologii. 2003; 65 (6): 36–40 (in Russian).
- Belov Yu.V., Stepanenko A.B., Kuznechevskiy F.V. Immediate and long-term results of surgical treatment of aneurysms and dissections of the ascending portion of aorta and aortic arch. Rossiyskiy kardiologicheskiy zhurnal. 2004; 5: 5–17 (in Russian).
- Erdheim J. Medionecrosis aortae idiopathica. Virchows Archive of Pathological Anatomy; 1929: 273–6.
- Gsell O. Wandnekrosen der aorta als selbstandige erkrankung und ihre beziehung zur spontanruptur. Virchows Archive of Pathological Anatomy; 1929: 270. 5. Moritz A.R. Medionecrosis aortae idiopathica cystica. Am. J. Pathol. 1932; VIII: 717–37. 6. Davies D.H. Idiopathic cystic medial necrosis of the aorta. Br. Heart J. 1941; 3 (3): 166–70.
- Yuan Shi-Min, Jing Hua. Cystic medial necrosis: pathological findings and clinical implications. Rev. Bras. Cir. Cardiovasc. 2011; 26 (1): 107–15.
- Gary T., Seinost G., Hafner F., Gorkiewicz G., Brodmann M. Cystic medial necrosis Erdheim Gsell as a rare reason for spontanepus rupture of the ascending aorta. Vasa. 2011; 40: 147–9.
- Hirst A.E. Jr, Gore I. Is cystic medionecrosis the cause of dissecting aortic aneurysm? Circulation. 1976; 6: 915–6. 10. Schlatmann T., Becker A.E. Histologic changes in the normal aging aorta: implications for dissecting aortic aneurysm. Am. J. Cardiol. 1977; 39: 13–20.
- Boсkeria L.A., Malashenkov A.I., Rusanov N.I., Albaev R.K., Movsesyan S.V., Rychin S.V. et al. Results of operation supra coronary prosthetic ascending aorta. Annaly khirurgii. 2009; 2: 16–27 (in Russian).
- Luneva E.B., Uspenskiy V.E., Mitrofanova L.B., Paydimirova M.I., Kandinskiy A.V., Zemtsovskiy E.V. The reasons for the formation of aneurysm of thoracic aorta. Rossiyskiy kardiologicheskiy zhurnal. 2013; 1 (99): 19–22 (in Russian).
- Kuznechevskiy F.V., Osipov A.Kh., Evsikov E.M., Abramov I.S., Otarova S.M. Prevalence and nature of aneurysms and aortic dissection according to an analysis of consecutive autopsy for a ten years in O.M. Filatov`s Hospital number
- Rossiyskiy kardiologicheskiy zhurnal. 2004; 6 (110): 5–12 (in Russian).
- Kavatsyuk O.O., Osov'ska N.Yu. Clinical medical history especially in patients of all ages with an ascending aortic aneurysm. Visnik morfologii. 2014; 1: 77–81 (in Ukrainian).
- Kuzyk Yu.I. Medionecrosis of aorta – dissecting aortic aneurysm etiology and morphogenesis. PhD. Med. Sci. Dis. Lvov; 2003 (in Ukrainian).
- Knörig J., Sänger S., Meyer R. Ascendens und Aortenbogenersatz bei einer Patientin mit chronischer Typ-A-Dissektion und Erdheim-Gsell’scherKrankheit. Z. Herz-Thorax-Gefäßchir. 2004; 18: 43–5.
- Leontyev S., Borger M.A., Legare J.-F., Merk D., Hahn J., Seeburger J. et al. Iatrogenic type A aortic dissection during cardiac procedures: early and late outcome in 48 patients. Eur. J. Cardiothorac. Surg. 2012; 41: 641–6.
- Aoyagi S., Akashi H., Fujino T., Kubota Y., Momosaki M., Kenmochi K. et al. Spontaneous rupture of the ascending aorta. Eur. J. Cardiothorac. Surg. 1991; 5: 660–2.
- Lavall D., Schäfers H.-J., Böhm M., Laufs U. Aneurysmen der Aorta ascendens. Deutsches Ärzteblatt. 2012; 109 (13): 30.
- Ferlic R.M., Goorr B., Edwards J.E., Lillehei C.W. Aortic valvular insufficiency associated with cystic medial necrosis. Ann. Surg. 1967; 165 (1): 1–9.
- Hitoshi Inafuku et al. Unruptured, isolated giant aneurysm of the sinus of Valsalva resulting from medial mucoid degeneration. Ann. Thorac. Cardiovasc. Surg. 2009; 15 (3): 203–5.
- Ekeke C.N., Daniels C., Raman S.V., Hitchcock C., Katz S.E., Crestanello J.A. Annuloaortic ectasia in a patient with congenital absence of the left pericardium. Ann. Thorac. Surg. 2013; 96: 2243–5.
- Natelson E.A., Watts D.N., Fred H.L. et al. Cystic medionecrosis of the pulmonary artery. Chest. 1970; 57 (4): 333–5.
- Jodocy D., Friedrich G.J., Johannes O.B. et al. Left main compression syndrome by idiopathic pulmonary artery aneurysm caused by medial necrosis Erdheim–Gsell combined with bicuspid pulmonary valve. J. Thorac. Cardiovasc. Surg. 2009; 138 (1): 234–6.
- Graham J.K., Shehata B. Sudden death due to dissecting pulmonary artery aneurysm: a case report and review of the literature. Am. J. Forensic Med. Pathol. 2007; 28: 342–4.
- Kie Pin Teng, Wellmann K.F. Aorto-pulmonary artery fistula due to idiopathic cystic medionecrosis. Canad. Med. Ass. J. 1962; 87: 917–9.
- Hanschke D., Eberhardt E. Riesenaneurysma der Arteria lienalis – eine Kasuistik. Gefässchirurgie. 2002; 7: 70–3.
- Zuccon W. et al. The rupture of lineal vessel aneurysm in the Erdheim illness. Ann. Ital. Chir. 2012; 83: 59–62.
- Dueppers P., Jankowiak S., Schelzig H., Wagenhäuser M.U., Oberhuber A. Spontaneous Rupture of an isolated iliac artery dissection in a young man due to cystic medial degeneration Erdheim-Gsell. Ann. Vasc. Surg. 2015; 29: 596.
- Stierli P., Huber G.F., Marty R. et al. Zur differentialdiagnose des leistenschmerzes: die isolierte, symptomatische Dissektion der infrarenalen Aorta und Beckenarterien. Chirurg. 2001; 72: 940–4.
- Persaud V. Subclavian artery aneurysm and idiopathic cystic medionecrosis. Br. Heart J. 1968; 30: 436. 32. Van Putten M.J.A.M. et al. Un uncommon cause of stroke in young adults. Arch. Neurol. 1999; 56: 1018–20.
- Matschke J., Riße M., Püschel K. Dissezierendes Aneurysma der A. cerebri media bei einem 7-jährigen Mädchen. Rechtsmedizin. 1999; 9: 222–6. 34. Bonderman D., Gharehbaghi-Schnell E., Wollenek G., Maurer G., Baumgartner H., Lang I.M. Mechanisms Underlying Aortic Dilatation in Congenital Aortic Valve Malformation. Circulation. 1999; 99: 2138–43.
- Audiolectures on histology. Morphology.dp.ua URL: http://www.morphology.dp.ua/_mp3/circulation2.php. 36. Larson E.W., Edwards W.D. Risk factors for aortic dissection: a necropsy study of 161 cases. Am. J. Cardiol. 1984; 53 (6): 8: 49–55.
- Zerbino D.D., Pospishit' Yu.O., Stefanyuk V.D. Microchemical analysis as a method of diagnosing a pathological anatomy in clinic. Vіsnik problem bіologії і meditsini. 2003; 2: 23–4 (in Ukrainian).
- Grigoriychuk V.I. Dissection aortic aneurysms as a cause of sudden death (forensic and morbid analysis). PhD Med. Sci. Dis. Lvov; 2010 (in Ukrainian).
- Ishchenko V.N., Sorokin V.A. Evolution of diagnosis and surgical treatment of aortic dissection. Pacific Med. J. 2007; 3: 23–7.
- Zerbino D.D., Kuzyk Yu.I. Deformation of the internal carotid arteries: the problem of etiology, pathogenesis and morphogenesis. Serdtse і sudini. 2014; 1: 97–105 (in Russian). 41. Xenobiotic. Ru.wikipedia.org. URL:https://ru.wikipedia.org/wiki/ (in Russian).
- Cherepakhin D.I., Bazylev V.V., Evtyushkin I.A., Suchkov S.V., Bogopol'skaya O.M., Charchyan E.R. et al. Aneurysms of large vessels in the era of genomics and proteomics and the possibility of predictive medicine. Kardiologiya I serdechno-sosudistaya khirurgiya. 2012; 4: 58–62 (in Russian).
- Irtyuga O.B., Voronkina I.V., Smagina L.V., Uspenskiy V.E., Tsoy N.V., Gordeev M.L., Moiseeva O.M. Activity of matrix metalloproteinases in patients with aneurysm of the ascending aorta of various etiologies. Arterial'naya gipertenziya. 2010; 6: 587–91 (in Russian).
- Mitrofanova L.B., Karev V.E., Shlyakhto E.V., Koval'skiy G.B. Mesenchymal dysplasia of heart valves, aortic cystic medionecrosis and herpes infection. Arkhiv patologii. 2005; 5: 20–3 (in Russian).
- Kurzai O., Keith P., de Hoog S., Abele-Horn M., Frosch M. Postmortem isolation of Pseudotaeniolina globosa from a patient with aortic aneurysm. Mycoses. 2003; 46: 141–4.
- Syvolap V.D., Kalenskiy V. Kh., Kiselev S.M. et al. Dissecting aortic aneurysm (clinical case). Zaporozhskiy meditsinskiy zhurnal. 2008; 5 (50): 52–5 (in Russian). 47. Belov Yu.V., Charchyan E.R. Dissicting aortic aneurizm with aortic insufficiency. Moscow; 2006 (in Russian).
- Zerbino D.D. Modern patology of the aorta and classification of the main diseases. Prakticheskaya angiologiya. 2010; 3 (32): 18–23 (in Russian).
- Kinyasheva N.B., Zotoka A.K., Valiakhmetov M.N. Main causes and variants of the course of dissection of aorta in patients of different ages (clinical observation). Vestnik novykh meditsinskikh tekhnologiy. 2009; XVI (2): 134 (in Russian).
- Belov Yu.V., Vinokurov I.A. Aortic aneurysms: what general practicion need to know. Serdechno-sosudistaya khirurgiya. 2011; 3: 30–4 (in Russian).
- Arakelyan V.S. Aneurysm of the descending thoracic and the thoracoabdominal aorta in degenerative diseases. In: Bockeria L.A., Arakelyan V.S. Surgery aneurysm of thoracic and thoracoabdominal aorta. Moscow: A.N. Bakoulev Scientific Center for Cardiovascular Surgery; 2010: 277–99 (in Russian).
- Gomes M.N., Choyke P.L. Pre-operative evaluation of abdominal aortic aneurysms: ultrasound or computed tomography? J. Сardiovasc. Surg. (Torino). 1987; 28: 159–66.
- Gomes M.N., Choyke P.L. Pre-operative evaluation of abdominal aortic aneurysms: ultrasound or computed tomography? J. Cardiovasc. Surg. (Torino). 1987; 28 (2): 159–66.
- Klintschar M., Bilkenroth U., Arslan-Kirchner M., Schmidtke J., Stiller D. Marfan syndrome: clinical consequences resulting from a medicolega autopsy of a case of sudden death due to aortic rupture. Int. J. Legal. Med. 2009; 123: 55–8.
- Göbölös L., Foltan M., Ugocsai P. et al. Recent advances in the management of acute aortic syndrome. Front Lines Thorac. Surg. 2012: 229–38.
- Belov Yu.V., Komarov R.N. Is Bentall procedure are a «gold standard» in surgical treatment of ascending aorta aneurysm with aortic insufficiency? Khirurgiya. 2013; 2: 135–9 (in Russian).
- Chernyavskiy A.M., Al'sov S.A., Marchenko A.V., Antropova T.V. Reconstructive surgery of ascending aorta and aortic arch. Moscow; NNIIPK Rosmedteknologiy; 2008 (in Russian).
- Semenovskiy M.L., Akopov G.A. An alternative method of surgical correction dissecting aortic aneurysm in combination with aortic insufficiency. Vestnik transplantologii i iskusstvennykh organov. 2009; 4: 30–9 (in Russian).
- Sorokin V.A. Surgical treatment of aortic dissection of the first type. Kardiologiya i serdechno-sosudistaya khirurgiya. 2010; 2: 36–8 (in Russian).
- Badiu C.C., Deutsch M.A., Sideris C., Krane M., Hettich I., Voss B. et al. Aortic root replacement: comparison of clinical outcome between different surgical techniques. Eur. J. Cardiothorac. Surg. 2014: 46: 685–692.
