July 2019 — Cardiovascular

A 50-year-old man who was known to have systemic hypertension developed sudden onset of severe back pain with associated diaphoresis. He lost consciousness approximately one hour after the onset of symptoms and, despite resuscitation attempts, died. An autopsy was conducted and he was found to have an acute aortic dissection originating just inferior to the left subclavian artery and extending to the iliac arteries (Stanford A/DeBakey IIIb). The following are microscopic sections of his left renal artery.

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Photo of Catherine Morris, M.D. Catherine Morris, M.D.
Fellow, Cardiovascular Pathology
Mayo Clinic
Photo of      Joseph J. Maleszewski, M.D.   Joseph Maleszewski, M.D.
Professor of Laboratory Medicine and Pathology
Professor of Medicine
Departments of Laboratory Medicine and Pathology, Cardiovascular Medicine, and Clinical Genomics
Mayo Clinic College of Medicine
@joemaleszewski

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