Skip to main content

Some thoughts on the causes of coronary thrombosis in atherosclerotic arteries and the research necessary for their future exploration

  • Chapter
Triggering of Acute Coronary Syndromes

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 170))

  • 59 Accesses

Abstract

It has been known for a long time that occlusive arterial thrombosis develops almost always in atherosclerotic arteries, practically never in normal vessels, but the mechanism through which atherosclerosis promotes thrombosis remained obscure. In the relatively few cases in which the thrombus developed over a severely ulcerated atheroma, there was no question regarding the pathogenesis of the thrombus, but in most cases the large occlusive thrombi developed over seemingly intact atheroma caps that were overlying hemorrhagic lipid cores [1].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Constantinides P. General Pathobiology. Norwalk CT: Appleton & Lange Publishers 1994.

    Google Scholar 

  2. Paterson JC. Capillary rupture with intimai hemorrhage as a causative factor in coronary thrombosis. Arch Path 1938; 25: 474–9.

    Google Scholar 

  3. Constantindes P. Experimental atherosclerosis. Amsterdam: Elsevier Publishing 1965.

    Google Scholar 

  4. Constantinides P, Chakravarti RN. Rabbit arterial thrombosis production by systemic procedures. Arch Path 1961; 72: 197–208.

    PubMed  CAS  Google Scholar 

  5. Constantinides P. Experimental atherosclerosis. Amsterdam: Elsevier Publishing 1965.

    Google Scholar 

  6. Constantinides P. Coronary thrombosis linked to fissure in atherosclerotic vessel wall. J Am Med Assoc 1964; 188 (Med News Section): 35–7.

    Google Scholar 

  7. Constantinides P. Plaque fissures in human coronary thrombosis. J Atheroscler Res 1966; 6: 1–17.

    Article  Google Scholar 

  8. Friedman M, Bovenkamp GI. The pathogenesis of a coronary thrombus. Am J Pathol 1966; 48: 19–39.

    PubMed  CAS  Google Scholar 

  9. Sinapius D. Über Wandveränderungen bei coronarthrombose. Klin Wochenschr 1965; 43: 875–80.

    Article  PubMed  CAS  Google Scholar 

  10. Davies MJ, Thomas A. The pathological basis and microanatomy of occlusive thrombus formation in human coronary arteries. Philos Trans R Soc London 1981; 294: 225–9.

    Article  CAS  Google Scholar 

  11. Falk E. Plaque rupture with severe pre-existing stenosis precipitating coronary thrombosis. Br Heart J 1983; 50: 127–34.

    Article  PubMed  CAS  Google Scholar 

  12. Wichert, A. Personal communication.

    Google Scholar 

  13. Constantinides P. Pathogenesis of cerebral artery thrombosis in man. Arch Pathol 1967; 83: 422–8.

    PubMed  CAS  Google Scholar 

  14. Zimmerman M, McGeachie J. The effect of nicotine on aortic endothelium. Atherosclerosis 1987; 63: 33–41.

    Article  PubMed  CAS  Google Scholar 

  15. Constantinides P, Harkey M. Electron microscopic exploration of human endothelium in serial sections of early and advanced atherosclerotic lesions. Ann NY Acad Sci 1990; 598: 113–25.

    Article  PubMed  CAS  Google Scholar 

  16. Constantinides P. General pathobiology. Norwalk: Appleton & Lange Publishers 1994.

    Google Scholar 

  17. Constantinides P. Present evidence for the role of immune factors in atherogenesis. In Constantinides P et al (eds): Immunity and Atherosclerosis (Serono Symposia, Vol 24). London: Academic Press 1980.

    Google Scholar 

  18. Barger AC, Beuwkes R III, Lainay LL, Sieverran KJ. Hypothesis: Vasa vasorum and neovascularization of human coronaries: a possible role in the pathology of atherosclerosis. N Engl J Med 1984; 310: 175–7.

    Article  PubMed  CAS  Google Scholar 

  19. Constantinides P. Cause of thrombosis in human atherosclerotic arteries. Am J Cardiol 1990; 66: 37G–40G (see Figure 3).

    Article  PubMed  CAS  Google Scholar 

  20. Abela GS, Picon PD, Friedl SE, Gebara OC, Miyamoto A, Federman M, Toiler GH, Muller JE. Triggering of plaque disruption and arterial thrombosis in an atherosclerotic rabbit model. Circulation 1995; 91: 776–784.

    PubMed  CAS  Google Scholar 

  21. Constantindes P. General Pathobiology. Norwalk: Appleton and Lange Publishers 1994: 195.

    Google Scholar 

  22. Robbins Pathologic Basis of Disease, 4th edition. Philadelphia: Saunders Publishing 1989: 677.

    Google Scholar 

  23. Constantindes P. General Pathobiology. Norwalk: Appleton and Lange Publishers 1994: 126–129.

    Google Scholar 

  24. Constantinides P, Harkey M, McLaury D. Prevention of lipofuscin development in neurons by anti-oxidants. Virchow’s Archive A 1986; 409: 583–93.

    Article  CAS  Google Scholar 

  25. Constantinides P. General Pathobiology. Norwalk: Appleton and Lange Publishers 1994: 165.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1996 Kluwer Academic Publishers

About this chapter

Cite this chapter

Constantinides, P. (1996). Some thoughts on the causes of coronary thrombosis in atherosclerotic arteries and the research necessary for their future exploration. In: Willich, S.N., Muller, J.E. (eds) Triggering of Acute Coronary Syndromes. Developments in Cardiovascular Medicine, vol 170. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-1577-0_16

Download citation

  • DOI: https://doi.org/10.1007/978-94-009-1577-0_16

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-7205-2

  • Online ISBN: 978-94-009-1577-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics