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The development of specific granulations with foci of caseous necrosis leads to wall thickening, ulceration, aneurysm and perforation. With hematogenous generalization, miliary tubercles or their conglomerates in the form of sildenafil foci with caseosis may develop on the inner membrane. In rheumatism, in all layers of the aorta, foci of tissue disorganization are found with the sequential development of mucoid edema, fibrinoid swelling and the transition to granulomatosis and sclerosis. The connection with rheumatism sometimes found in the tunica media (tunica media) foci of accumulation of mucoid substances in the absence of elastic fibers and inflammatory reaction (media necrosis idiopathic bush, medionecrosis idiopathica cystica) is discussed.
In adult patients, the proliferative component predominates with the presence of rheumatic granulomas in the middle shell along the vasa vasorum (rheumatic mes-, periaortitis). With an exacerbation of the process, the phenomena of viagra are combined with acute tissue disorganization.
Syphilitic mesaortitis: a — changes in the inner lining of the ascending aorta; 6 - inflammatory infiltrates from plasma cells and lymphocytes in the middle and outer shells; atherosclerotic changes in the inner lining (staining with hematoxylineosin; × 80); (c) rupture of elastic fibers in areas of inflammatory infiltration (stained with orcein; × 80).