Multiple Aortic Aneurisms

Clinical History

The specimen was obtained at necropsy from a 72 year old man who died of congestive cardiac failure. The heart showed biventricular hypertrophy and dilatation, an old postero-lateral myocardial infarct and a myocardial aneurism on the antero-lateral wall of the left ventricle.


The abdominal aorta and the iliac arteries are severely atheromatous with numerous ulcerated yellow plaques, many of which have become confluent. In addition there are four saccular aneurisms filled with laminated thrombus, the largest of which measures 3 cm in maximum dimension. The origins of the major branches are also atheromatous but are not significantly narrowed.