RT Book, Section A1 Bissonnette, Bruno A1 Luginbuehl, Igor A1 Engelhardt, Thomas SR Print(0) ID 1164071776 T1 Gsell-Erdheim Syndrome T2 Syndromes: Rapid Recognition and Perioperative Implications, 2e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259861789 LK accesspediatrics.mhmedical.com/content.aspx?aid=1164071776 RD 2023/09/30 AB Aneurysms and dissections of the aorta usually result from degenerative changes in the aortic wall. Thoracic aortic aneurysms and dissections are primarily associated with a characteristic histologic appearance known as “medial necrosis” or “Erdheim cystic medial necrosis” which is characterized by degeneration and fragmentation of elastic fibers, loss of smooth muscle cells, and accumulation of basophilic ground substance. The association between congenital bicuspid aortic valve and medial necrosis of the aorta has been suggested. Ectopia of the pigment layer of the iris onto the anterior surface of the iris has been associated with this medical condition.