Elastic fibers in myocardial scars in rats: development teraction with other components.

This work was designed to determine the course of development of elastic fibers in myocardial scars in rats and their relationship to other components of such structures. Light and electron microscopic observations were made on tissues from 24 rats, killed at sequent stages from 4 to 24 days postinjury. By both techniques, elastic fibers, shown to be forming by 4 days, had increased in size and number with maturation of the scar. At later stages they became interdigitated with the stumps of viable myocytes. We also saw that these fibers often had formed close contacts with the cell surfaces of myofibroblasts and nonvascular smooth muscle cells; a process found in some other situations but not previously in myocardial scars. This information is relevant, in particular, to the dynamics of myocardial scars and thus to the maintenance of function in the injured heart, but also to elastic fiber behavior in general. The integral role of elastic fibers in cell-matrix interactions as well as their biomechanical function is emphasized.

Histopathology and ultrastructure of human umbilical blood vessels.

To resolve controversy over umbilical vessels structure, a morphological review was undertaken of the histology of blood vessels in 130 fetal umbilical cords varying in gestational age and the ultrastructure of blood vessels in 6 umbilical cords. Arteries and veins were lined by endothelium. The internal elastic lamina was frequently interrupted when associated with intimal thickening of longitudinally orientated smooth muscle cells. Fragments of elastic laminae developed in the intima and inner media both of which were thicker in arteries than in vein. No external elastic laminae or distinct adventitia were found. Most notable was the accumulation of cell debris developed from blebs derived from polypoid cytoplasmic protrusions of smooth muscle cells of both arteries and veins. They underwent hydropic change and became detached and fragmented particularly after 20 weeks' gestation. Similar hydropic degeneration occurred in endothelial cells of arteries and veins, such changes being consistent with the destructive pattern of hemodynamic stresses.

Myxosarcoma of the right ventricle: an immunohistochemical and ultrastructural study.

BACKGROUND: Myxosarcoma is an unusual form of primary cardiac malignancy with few reports in the literature. Although these tumours occur in a similar anatomical distribution to cardiac myxoma, the relationship between these two tumours is uncertain due largely to the limited studies available that characterise the morphological features of myxosarcoma. MATERIALS AND METHODS: The clinical and pathological features, including immunohistochemical and ultrastructural studies of cardiac myxosarcoma, in a 58-year-old male who died eight months after onset of symptoms are reported. RESULTS: At presentation the tumour was sited in the right ventricle and at post-mortem was found to have extended into the right atrium, pulmonary infundibulum, pulmonary artery, pericardium and pleural cavities. Histologically the tumour was composed of spindle and stellate cells within a myxoid stroma. Ultrastructural studies showed abundant intermediate filaments and vacuoles within the tumour cell cytoplasm, without any evidence of muscle differentiation. Immunohistochemical staining for vimentin and myoglobin was positive, while there was negative expression of desmin, smooth muscle actin, factor VIIIa, CD34, CD68, S-100 protein, bcl-2 and for epithelial markers. CONCLUSION: Comparison of the morphological findings from the present case with the limited data available suggests that myxosarcoma is not a single tumour entity but a group of tumours of diverse histogenesis.