Article ; Online: Transthyretin-related amyloid in a saphenous vein. Histological diagnosis in a patient undergoing coronary artery bypass surgery.
Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology
2019 Volume 41, Page(s) 21–23
Abstract: Amyloidosis is an underdiagnosed and challenging disease with clinical and etiologic heterogenicity, requiring amyloid subtyping because of the distinctive prognostic and therapeutic impact. Transthyretin amyloidosis is more common in elderly patients, ... ...
Abstract | Amyloidosis is an underdiagnosed and challenging disease with clinical and etiologic heterogenicity, requiring amyloid subtyping because of the distinctive prognostic and therapeutic impact. Transthyretin amyloidosis is more common in elderly patients, and in such population undergoing cardiovascular surgery, it could be worthy to be investigated. We herein describe an unusual case of transthyretin-related vascular amyloidosis in an 81-year-old man undergoing coronary artery bypass surgery. Diagnosis done after histology showed an intimal eccentric thickening in a remnant segment of the right saphenous vein that was harvested for grafting. Transthyretin-related amyloidosis was demonstrated by histochemical Congo Red staining under polarized light and by immunohistochemistry, corresponding to the intimal thickening. The thorough histological analysis was crucial for the diagnosis of a previously unknown transthyretin-related vascular amyloidosis. |
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MeSH term(s) | Aged, 80 and over ; Amyloid/analysis ; Amyloid Neuropathies, Familial/diagnosis ; Amyloid Neuropathies, Familial/metabolism ; Amyloid Neuropathies, Familial/pathology ; Biomarkers/analysis ; Biopsy ; Coronary Artery Bypass ; Fatal Outcome ; Humans ; Immunohistochemistry ; Male ; Neointima ; Prealbumin/analysis ; Saphenous Vein/chemistry ; Saphenous Vein/pathology ; Saphenous Vein/transplantation ; Tissue and Organ Harvesting ; Treatment Outcome ; Vascular Diseases/diagnosis ; Vascular Diseases/metabolism ; Vascular Diseases/pathology |
Chemical Substances | Amyloid ; Biomarkers ; Prealbumin ; TTR protein, human |
Language | English |
Publishing date | 2019-04-05 |
Publishing country | United States |
Document type | Case Reports ; Journal Article |
ZDB-ID | 1134600-0 |
ISSN | 1879-1336 ; 1054-8807 |
ISSN (online) | 1879-1336 |
ISSN | 1054-8807 |
DOI | 10.1016/j.carpath.2019.03.004 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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