The aorta possesses histologically evident cystic medial necrosis
making it vulnerable to dissection.
Cystic medial necrosis
, intimal tear, and angiomatosis are some of the infrequent, associated microscopic findings.
commented that delayed aortic dissection after cardiac surgery was not related to technical operative errors or clamp injury, but to cystic medial necrosis
Fishbein et al (2), reported chronic arteritis and cystic medial necrosis
pattern in the LITA grafts of four patients undergoing CABG.
Cystic medial necrosis has been reported in association with CAD in several studies.
Coexistence of fibromuscular dysplasia and cystic medial necrosis in a patient with Marfan's syndrome and bilateral carotid artery dissections.
We present a young patient with cystic medial necrosis
who presented with atypical clinical symptoms and ascending thoracic aortic dissection was diagnosed by CT imaging.
These studies detail numerous cases of aortic aneurysm, dissection, or rupture in nonpregnant patients and note that some share histopathologic features, such as cystic medial necrosis
, with Marfan syndrome patients (Pediatrics 102:e12, 1998).
systemic hypertension, cystic medial necrosis of aorta or aortic dissection.
Enlargement of aortic knob though not perfectly case-sensitive but still it gives first hand indication of certain diseases like long standing cases of systemic hypertension, atherosclerosis, cystic medial necrosis of aorta, aortic dissection etc.
Spontaneous dissection of three major coronary arteries subsequent to cystic medial necrosis
Spontaneous VAD is associated with arteriopathy, Marfan's syndrome, vasculitis, cystic medial necrosis
, homocystinuria, and fibromuscular dysplasia.