Vascular System Flashcards
Vascular lesions
-edema and congestion
-hemorrhage
-thrombosis
-ischemia/infarcts
Degenerative disease of arteries
- arterioschlerosis
2.Atherosclerosis - Arterial hypertrophy
- Aneurysms
- Arterial medial calcification
Arteriosclerosis
HARDENING OF ARTERY WALL
-loss of elasticity
-luminal narrowing
-occurs in elastic arteries like abdominal aorta, and occur commonly at branching sites
Arteriosclerosis
-intima with raised corrugated white plaques
-plaques may have calcium deposits
Atherosclerosis
-excessive cholesterol deposited in arterial walls
-rare in animals
-linked with heart attacks (myocardial infarcts) in humans
Atheromas
-cholesterol plaques in intima and media of arteries
-common in coronary arteries (heart attack) and cerebral arteries (stroke)
When does Atherosclerosis occur in animals?
-most commonly seen in hypothyroid dogs with hypercholesteolemia or diabetes mellitus
-also seen in pigs, psittacine birds and pigeons fed high lipid diets
Atherosclerosis
-thick arteries on heart
-Histo: plaques with foamy, lipid laden macrophages, cholesterol, fibroblasts, smooth muscle proliferation
Arterial hypertrophy
-hypertrophy and hyperplasia of the smooth muscle of muscular arteries
-results in loss of elasticity, narrowing of lumen, and increased resistance
Broad cause of arterial hypertrophy
Hypertension
High altitude (brisket disease)
Caused pulmonary hypertension, medial hypertrophy of pulmonary arteries, increased flow resistance, dilation hypertrophy of right ventricle=Right heart failure
-also see ascited and SQ edema
Pulmonary hypertension and arterial hypertrophy in cats
- Dirofilaria immitis
- Renal disease
- Some association seen with Aelurostrongylus absstrusus (although idea mostly abandoned because seen in uninfected)
Aneurysm
-localized weakening and dilation of blood vessels, particularly elastic arteries and to a lesser extent veins
-prone to rupture causing hemothorax, hemoabdomen, hemopericardium, brain hemorrhage
Types of aneurysms
1.Saccular aneurysm
-spherical/ovoid dilation of blood vessel (like a balloon)
- Dissecting aneurysm
-a tear in the intima allowing blood to enter space between the intima and media, dissecting wall of vessel
Common causes of aneurysms
- Strongylus vulgaris in horses (cranial mesenteric artery, aorta)
- Spirocerca lupi in dogs
- Copper deficiency in mares and pigs
- Trauma
5.Atherosclerosis and hypertension in humans