PMC3335502_01
Radiographic changes with aortic dilatation. (a) Shows the ascending aorta measuring 5.3 cm in diameter. (b) Shows the descending aorta measuring 5.0 cm in diameter.
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fig1
The dilatation involved not only the aortic root, but also the level of the right pulmonary outflow tract, and a 15 cm segment of the descending aorta (Figure 1).
Microscopic views of the aorta after aortic graft repair. Magnification: 20x (a) and 100x (b). Aorta with marked medial degeneration with loss of elastic tissue and smooth muscle cells and with marked intimal and adventitial fibrosis (Trichrome-EVG stain). Magnification: 20x; detail 100x. (I: intimal layer; M: media; A: adventitia).
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fig2
The pathology report of her aorta revealed burnt-out aortitis supporting a diagnosis of prior vasculitis (Figure 2).