- AutorIn
- Anna‑Leonie Menges Department for Vascular Surgery, University Hospital Zurich, Zurich, Switzerland
- Maja NackenhorstDepartment of Pathology, Medical University of Vienna, Vienna, Austria
- Johannes R. MüllerTechnische Universität Dresden, Germany
- Marie‑Luise Engl
- Renate Hegenloh
- Jaroslav Pelisek
- Ellen Geibelt
- Anja Hofmann
- Christian Reeps
- Gabor Biro
- Hans‑Henning Eckstein
- Alexander Zimmermann
- Derek Magee
- Martin Falk
- Nadja Sachs
- Albert Busch
- Titel
- Completing the view - histologic insights from circular AAA specimen including 3D imaging
- Untertitel
- a methodologic approach towards histologic analysis of circumferential AAA samples
- Zitierfähige Url:
- https://nbn-resolving.org/urn:nbn:de:bsz:14-qucosa2-975948
- Quellenangabe
- Diagnostic pathology
Erscheinungsjahr: 2023
Jahrgang: 18
E-ISSN: 1746-1596
Artikelnummer: 73 - Erstveröffentlichung
- 2023
- Abstract (EN)
- Abdominal aortic aneurysm (AAA) is a pathologic enlargement of the infrarenal aorta with an associated risk of rupture. However, the responsible mechanisms are only partially understood. Based on murine and human samples, a heterogeneous distribution of characteristic pathologic features across the aneurysm circumference is expected. Yet, complete histologic workup of the aneurysm sac is scarcely reported. Here, samples from five AAAs covering the complete circumference partially as aortic rings are investigated by histologic means (HE, EvG, immunohistochemistry) and a new method embedding the complete ring. Additionally, two different methods of serial histologic section alignment are applied to create a 3D view. The typical histopathologic features of AAA, elastic fiber degradation, matrix remodeling with collagen deposition, calcification, inflammatory cell infiltration and thrombus coverage were distributed without recognizable pattern across the aneurysm sac in all five patients. Analysis of digitally scanned entire aortic rings facilitates the visualization of these observations. Immunohistochemistry is feasible in such specimen, however, tricky due to tissue disintegration. 3D image stacks were created using open-source and non-generic software correcting for non-rigid warping between consecutive sections. Secondly, 3D image viewers allowed visualization of in-depth changes of the investigated pathologic hallmarks. In conclusion, this exploratory descriptive study demonstrates a heterogeneous histomorphology around the AAA circumference. Warranting an increased sample size, these results might need to be considered in future mechanistic research, especially in reference to intraluminal thrombus coverage. 3D histology of such circular specimen could be a valuable visualization tool for further analysis.
- Andere Ausgabe
- Link zum Artikel, der zuerst in der Zeitschrift „Diagnostic pathology” im Verlag BioMed Central erschienen ist.
DOI: 10.1186/s13000-023-01359-z - Verweis
- Ergänzendes Material ist unter folgendem Link zu finden.
Link: https://diagnosticpathology.biomedcentral.com/articles/10.1186/s13000-023-01359-z#Sec14 - Freie Schlagwörter (EN)
- Abdominal Aortic Aneurysm, Aneurysm sac, 3D histology, Inflammation
- Klassifikation (DDC)
- 610
- Verlag
- BioMed Central (BMC), London
- Version / Begutachtungsstatus
- publizierte Version / Verlagsversion
- URN Qucosa
- urn:nbn:de:bsz:14-qucosa2-975948
- Veröffentlichungsdatum Qucosa
- 26.08.2025
- Dokumenttyp
- Artikel
- Sprache des Dokumentes
- Englisch
- Lizenz / Rechtehinweis
CC BY 4.0