“…Medial necrosis, smooth muscle cell hypertrophy, elastin fragmentation and mucoid accumulation are present in Friesians with aortic rupture, even in acute cases (Ploeg et al 2015). In the report by Diel de Amorim et al (2016), the very young age of the foal, the atypical location and absence of typical histological hallmarks are unusual. A connective tissue defect seems thus less likely in this case.…”