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Clinical:Abdominal aortic aneurysm - surgical pathology

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The word aneurysm comes from the Greek word, meaning widening up.

Abdominal aneurysms can be looked on as a variant of occlusive atheromatous arterial disease.

Atheromatous disease is always present as well.

An aortic aneurysm is a swelling of the aorta more than 1.5 times the normal diameter (ie more than 30mm.).

Lesser degrees of swelling are called ectasia or dilatations.

Aneurysms can exceed 150mm. in diameter.

The aneurysms are saccular (local blow-outs) or fusiform (spindle shaped).


The surgical pathology of abdominal aortic aneurysms in best described in several subsections.

Macroscopic appearance of abdominal aortic aneurysms.

Microscopic appearance of abdominal aortic aneurysms.

Platelet thrombus inside abdominal aortic aneurysms.

Progress of the disease process in abdominal aortic aneurysms.

Other arteries affected by occlusive arteriosclerotic disease.

Arteriosclerotic aneurysms elsewhere in the body.

Dissecting aneurysms.

Mycotic aneurysms.

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