aortic aneurysm familial thoracic type 4; familial thoracic aortic aneurysm & dissection
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Pathology
- degenerative changes in the aortic wall
- characteristic histologic appearance of 'medial necrosis'
- degeneration & fragmentation of elastic fibers
- loss of smooth muscle cells
- accumulation of basophilic ground substance
- marked aortic stiffness
- show large areas of medial degeneration with very low smooth muscle cells content
Genetics
- associated with defects in MYH11