Bram Trachet1, Rodrigo A Fraga-Silva2, Alessandra Piersigilli3, Alain Tedgui4, Jessica Sordet-Dessimoz5, Alberto Astolfo6, Carole Van der Donckt7, Peter Modregger8, Marco F M Stampanoni9, Patrick Segers10, Nikolaos Stergiopulos2. 1. IBiTech-bioMMeda, Ghent University-iMinds Medical IT, Ghent, Belgium Institute of Bioengineering, Ecole Polytechnique Fédérale de Lausanne, BM 5128 Station 17, CH-1015 Lausanne, Switzerland bram.trachet@ugent.be bram.trachet@epfl.ch. 2. Institute of Bioengineering, Ecole Polytechnique Fédérale de Lausanne, BM 5128 Station 17, CH-1015 Lausanne, Switzerland. 3. School of Life Sciences, PTEC GE, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland Institute of Animal Pathology, University of Bern, Bern, Switzerland. 4. INSERM, Paris Cardiovascular Research Center (PARCC), Université Paris Descartes, Paris, France. 5. Histology Core Facility, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland. 6. Swiss Light Source, Paul Scherrer Institut, Villigen, Switzerland. 7. Laboratory of Physiopharmacology, University of Antwerp, Antwerp, Belgium. 8. Swiss Light Source, Paul Scherrer Institut, Villigen, Switzerland Centre d'Imagerie BioMédicale, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland. 9. Swiss Light Source, Paul Scherrer Institut, Villigen, Switzerland Institute for Biomedical Engineering, University and ETH Zürich, Zürich, Switzerland. 10. IBiTech-bioMMeda, Ghent University-iMinds Medical IT, Ghent, Belgium.
Abstract
AIMS: In this work, we provide novel insight into the morphology of dissecting abdominal aortic aneurysms in angiotensin II-infused mice. We demonstrate why they exhibit a large variation in shape and, unlike their human counterparts, are located suprarenally rather than infrarenally. METHODS AND RESULTS: We combined synchrotron-based, ultra-high resolution ex vivo imaging (phase contrast X-Ray tomographic microscopy) with in vivo imaging (high-frequency ultrasound and contrast-enhanced micro-CT) and image-guided histology. In all mice, we observed a tear in the tunica media of the abdominal aorta near the ostium of the celiac artery. Independently we found that, unlike the gradual luminal expansion typical for human aneurysms, the outer diameter increase of angiotensin II-induced dissecting aneurysms in mice was related to one or several intramural haematomas. These were caused by ruptures of the tunica media near the ostium of small suprarenal side branches, which had never been detected by the established small animal imaging techniques. The tear near the celiac artery led to apparent luminal dilatation, while the intramural haematoma led to a dissection of the tunica adventitia on the left suprarenal side of the aorta. The number of ruptured branches was higher in those aneurysms that extended into the thoracic aorta, which explained the observed variability in aneurysm shape. CONCLUSION: Our results are the first to describe apparent luminal dilatation, suprarenal branch ruptures, and intramural haematoma formation in dissecting abdominal aortic aneurysms in mice. Moreover, we validate and demonstrate the vast potential of phase contrast X-ray tomographic microscopy in cardiovascular small animal applications. Published on behalf of the European Society of Cardiology. All rights reserved.
AIMS: In this work, we provide novel insight into the morphology of dissecting abdominal aortic aneurysms in angiotensin II-infused mice. We demonstrate why they exhibit a large variation in shape and, unlike their human counterparts, are located suprarenally rather than infrarenally. METHODS AND RESULTS: We combined synchrotron-based, ultra-high resolution ex vivo imaging (phase contrast X-Ray tomographic microscopy) with in vivo imaging (high-frequency ultrasound and contrast-enhanced micro-CT) and image-guided histology. In all mice, we observed a tear in the tunica media of the abdominal aorta near the ostium of the celiac artery. Independently we found that, unlike the gradual luminal expansion typical for humananeurysms, the outer diameter increase of angiotensin II-induced dissecting aneurysms in mice was related to one or several intramural haematomas. These were caused by ruptures of the tunica media near the ostium of small suprarenal side branches, which had never been detected by the established small animal imaging techniques. The tear near the celiac artery led to apparent luminal dilatation, while the intramural haematoma led to a dissection of the tunica adventitia on the left suprarenal side of the aorta. The number of ruptured branches was higher in those aneurysms that extended into the thoracic aorta, which explained the observed variability in aneurysm shape. CONCLUSION: Our results are the first to describe apparent luminal dilatation, suprarenal branch ruptures, and intramural haematoma formation in dissecting abdominal aortic aneurysms in mice. Moreover, we validate and demonstrate the vast potential of phase contrast X-ray tomographic microscopy in cardiovascular small animal applications. Published on behalf of the European Society of Cardiology. All rights reserved.
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