Gross pathology

2nd year, CVS module, 2011

REVISION
:JARS 13
 Acute rheumatic valvulitis (mitral valve)
 Chronic rheumatic heart (mitral & tricuspid)
 Chronic rheumatic heart (ball thrombus)
 Infective endocarditis (mitral valve)
 Infective endocarditis (aortic valve)
 Fibrinous pericarditis
 Suppurative pericarditis
 Adhesive pericarditis (rheumatic)
 Tuberculous pericarditis (wet)
 Constrictive pericarditis
 Atheroma of aorta
 Atheroma of aorta (aneurysm & thrombosis)
 Aneurysm of aorta
Rheumatic heart
disease
:Revise: Rheumatic heart disease

 1-Acute rheumatic, mitral.

 2-Chronic rheumatic, ball valve-thrombus.
 3-Chronic rheumatic, mitral and tricusped
stenosis.
 Swollen
edematous
mitral valves

Pin point
vegetations,
adherent one
raw at the line
of valve closure

Acute rheumatic carditis, mitral

 Large
thrombus in
left atrium on
top of chronic
mitral stenosis

Chronic rheumatic valvulitis, ball valve thrombus

 Fibrotic
deformed
fused cusps of
tricusped vale

Fibrotic
deformed
fused cusps of
mitral vale

Chronic rheumatic heart disease, mitral and tricusped stenosis

Infective
endocarditis
:Revise: Infective endocarditis

 1- Infective endocarditis, mitral.

 2- Infective endocarditis, aortic.
 Large
vegetations,
friable
covering the
whole cusp
surface, mitral

Infective endocarditis, mitral

 Large friable
vegitations on
aortic valve

Infective endocarditis, aortic

Large friable
vegitations,
aortic

Infective endocarditis, aortic

 Large friable
vegitations,
aortic

Infective endocarditis, aortic

 Large friable
vegitations,
aortic
Deformed
friable cusps

Infective endocarditis, aortic

 Large friable
vegitations,
aortic

Infective endocarditis, aortic

 Large friable
vegitations,
aortic

Infective endocarditis, aortic

Pericarditis
:Revise: Pericarditis

 1- Fibrinous pericarditis.
 2- Suppurative pericarditis.
 3- Tuberculous pericarditis.
 4- Constrictive pericarditis.
 5-Adhesive pericarditis.
Mantle of
fibrin

Dull opaque
pericardium

Fibrinous pericarditis
Dirty yellow
foci of pus

purulent pericarditis
 Enlaeged,
matted lymph
nodes with
creamy yellow
cheesy cut
section

Dull obaque
pericardium

tuberculous pericarditis
 Patch of
dystrophic
calcification

Thick fibrotic
pericardium

Constrictive pericarditis
Large sized
heart

Thick fibrotic
pericardium
adherent to
mediastinum

Adhesive pericarditis
Vessel diseases
:Revise: Vessel diseases

 1- Atherosclerosis.
 2- Atherosclerosis, aneurysm and
thrombosis.
 3- Aneurysm of abdominal aorta.
 Rigid
vessel Chalky white patch of
wall calcification

Ulceration

Brownish thrombotic
areas

Atherosclerosis
 Rigid Brownish
vessel thrombotic areas
wall

Yellowish
atheromatous
plaques

Atherosclerosis
 Rigid Yellowish
vessel atheromatous
wall plaques

Chalky white
patch of
calcification

Atherosclerosis
 Rigid
vessel
wall Yellowish
atheromatous
plaques

Atherosclerosis, abdominal aorta

Atherosclerotic
vessel

Saccular
aneurysm
and
lammellated
thrombu

Atherosclerosis, saccular aneurysm, lammellated thrombus

 Fusiform
dilated part of
aorta

Aortic aneurysm
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