16 Flashcards
– the thrombi become larger and larger eventually obstructing
the lumen of the blood vessel where they are formed.
Propagation
– portions of the thrombi break and
are carried into the circulation
Fragmentation to form thrombo-emboli
– lysis of the thrombi by plasma-derived
fibrinolytic system or through slow phagocytosis by phagocytic cells.
Dissolution by fibrinolysis
– invasion and growth of fibrous tissue could
happen, along with recanalization and restoration of blood flow.
Fibrous tissue organization
Thrombi are clinically important for two reasons:
a) they cause obstruction
of blood vessels, and b) they can be a source of emboli.
of the left chamber of the heart usually produces
emboli in the systemic circulation, while when it occurs in the right chamber, the
emboli are at the lungs.
Valvular thrombosis
One of the notorious “seeders” of emboli is the disease
called _________ that causes multiple embolisms in the
kidneys.
bacterial valvular endocarditis
A reduction in the flow of arterial blood to an organ or tissue result to a condition
called ____
ischemia
The reduction of blood supplies maybe partial and is called
,
hypoxia
complete reduction in the oxygen supplied to tissues called .
anoxia
obstructing the
cranial mesenteric artery.
Strongylus vulgaris
– In some organs, there are two separate blood
supply originating from different points. This includes the lungs (pulmonary
artery and bronchial artery), and the liver (hepatic artery and portal vein).
Thus, pulmonary and hepatic infarctions are rarely seen, although they
may occur in association with chronic passive venous congestion in which
the dual blood supply is compromised.
Dual Blood Supply
is considered one of the “silent” killers of humans.
Myocardial
infarction
_________ associated with subsequent formation of
thrombin. This leads to platelet aggregation and fibrin formation resulting
to microthrombosis of vascular capillaries, and infarction in many organs.
hypercoagulable phase
___________ associated with the activation of
the fibrinolytic system with consequent release of fibrin and fibrinogen
degradation products that suppresses fibrin polymerization.
Thrombocytes are depleted at this phase, including the various clotting
factors, notably fibrinogen, Factor VIII (anti-hemophilic factor), and Factor
V (proaccelerin).
hypocoagulable phase