Cardiovascular system Final Practical Gross Pathology 10/11

Diagnosis Comment
C3 Specimen :
Heart with open chambers
 Rheumatic endocarditis of the Description :
mitral valve with  Mitral valve shows :-
incompetence  Thickened greyish white, opaque retracted cusps
 Hypertrophy & dilatation of  Thickened shortened chordae tendinae
all cardiac chambers  Widely patent mitral orifice
 All cardiac chambers show hypertrophy & dilatation
C 7-1 Specimen :
Transversely cut heart showing
 Rheumatic endocarditis of the  Mitral & tricuspid valve
mitral valve with stenosis &  Parts of atria [front view] & ventricles [back view]
tricuspid valve with Description :
incompetence  Mitral valve show :-
 Hypertrophy & dilatation of  Thickened greyish white, opaque fused cusps
all cardiac chambers  Stenosed button hole-like mitral orifice
 Shortened chordae tendinae
 Hypertrophied papillary muscles [seen from back view]
 Tricuspid valve shows :-
 Thickened greyish white, opaque retracted cusps
 Widely patent mitral orifice
 All cardiac chambers show hypertrophy & dilatation
C 17-1 Specimen :
Transverse slice of both ventricles & interventricular septum
 Concentric hypertrophy of the Description :
left ventricle  The wall of the left ventricle is hypertrophied
 Hypertrophy of the right  The interventricular septum is hypertrophied & is bulging
ventricle towards the right ventricle
 Wall of the right ventricle is hypertrophied
C 18-1 Specimen :
Heart with open left side
 Brown atrophy of the heart Description :
 Aortic atherosclerosis  Heart : reduce in size
 Myocardium : dark brown
 Coronaries : tortuous [seen at outer surface]
 Pericardial fat : dissappeared & replaced by edematous tissue
[serous atrophy of fat]
 Aorta : yellow atherosclerotic patches

hz |1588
 Diagnosis Final Practical Gross Pathology 10/11
Comment
C 36-2 Specimen :
Heart with open left side
 Aortic & coronary Description :
atherosclerosis  Aorta : yellow atherosclerotic plaques & ulcers
 Arteriosclerotic heart disease  Coronary wall :
 Atherosclerotic thickening
 Narrowed lumen
 Left ventricle :
 Marked hypertrophy
 Dilatation
 White fibrous streaks are seen within the left
ventriclemyocardium
C 40-1 Specimen :
Heart with open left side
 Healed anterior infarct of left Description :
ventricle  Apex of the heart with adjacent parts of
 Mural thrombus  The anterior wall of left ventricles &
 Pericardial adhesions  Interventricular septum
 Appear thinned
 Replaced by greyish white fibrous tissue [healed infarct]
 Whitish left ventricular subendocardial fibrosis is also
seen
 Endocardial side of the infarct is covered by a large yellowish
brown mural thrombus
 Pericardial site show whitish fibrous adhesions
C 68-10 Specimen :
An aortic segment with the two common iliac arteries
 Atherosclerosis of abdominal Description :
aorta & common iliac arteries  Intima of aorta & common iliac arteries shows multiple yellow
associated with ulceration & irregular atherosclerotic patches
thrombosis  Some of these lesions are ulcerated
 Small brownish thrombi are seen covering some of the
atherosclerotic lesions
C 76-2 Specimen :
Left foot
 Dry gangrene of left foot Description :
[ senile gangrene ]  Left foot is
 Atherosclerotic & thrombosi  Black shrunken
of anterior tibial artery  Mummified with wrinkled skin [dry gangrene]
 An irregular groove [line of separation] is seen at the level of
malleoli
 Cross section of anterior tibial artery shows
 Atherosclerotic wall
 An occluding thrombus

hz |1588
 Final Practical Gross Pathology 10/11
Diagnosis Comment
C 76-5 Specimen :
Right upper limb
 Moist gangrene of the right Description :
upper limb [due to  A groove [site of a tightly applied tourniquet] is seen at at the
erroneously tightly applied upper [proximal] aspect of the arm
tourniquet]  The upper limb below this groove is dark brown, swollen with
macerated skin
 No line of demarcation or separation
C 77-4 Specimen :
Open left ventricle, thoracic aorta & thoracic part of vetebral
 Aortic atherosclerotic column
associated with fusiform Description :
aneurysms causing pressure  The aorta shows
atrophy of thoracic vetebrae  Atherosclerotic patches : yellow, raised & irregular
 Left ventricle hypertrophy  2 fusiform aneurysm affecting the descending thoracic
aorta
 The distal [lower] one is larger & has a laminated
thrombus
 The adjacent thoracic vetebrae show pressure atrophy,
but
 The intervening discs are normal
 The left ventricle is hypertrophied
C 78-1 Specimen :
Heart with a segment of thoracic aorta [ascending aorta & arch]
 Syphilitic aortitis Description :
 Aortic atherosclerotic &  Aortic intima : shows multiple raised yellow atherosclerotic
 Saccular aortic aneurysm patches
 A saccular aneurysm with a thin fibrotic wall & laminated
thrombus is seen
C 86-4 Specimen :
Spleen
 Cavernous hemangioma of Description :
the spleen The cut section of the spleen shows a mass :
 The mass is subcapsular
 Non capsulated & more/less rounded
 About 2.5cm in diameter
 Cut section is spongy [vascular spaces] & brownish [blood]

hz |1588