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Pathology > CV pathology > Flashcards

CV pathology Flashcards

1
Q

R Atrium

A

atrial appendage: broad attachment neck, blunt tip Internal features: - smooth sinus venarum connecting SVC&IVC - crista terminalis with perpendicular pectinate trabeculae - fossa ovalis with distinct limbus - coronary sinus

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2
Q
A

Right atrium

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3
Q

RV

A

• inlet is tricuspid valve
• multiple small papillary muscles
• coarse trabecular zone
• muscular infundibulum (outlet)
- trabecula septomarginalis
- lack of fibrous continuity between atrioventricular valve (tricuspid) and arterial valve (pulmonary)

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4
Q

LA

A

• atrial appendage
- narrow attachment neck
- hooked tip
• internal features
- pectinate muscles confined to atrial appendage
- smooth pulmonary vein component
- irregular flap valve or plaque of foramen ovale

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5
Q

LV

A

• inlet is mitral valve with 2 distinct papillary muscles
• fine trabecular zone
• smooth subarterial septum
• fibrous continuity of atrioventricular valve (mitral) and
arterial valve (aortic)

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6
Q
A

perimembranous VSD

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7
Q
A

muscular (probe) VSD and perimembranous VSD

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8
Q
A

complete AVSD (often seen in Down’s syndrome)

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9
Q
A

TOF

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10
Q
A

transposition of the great arteries

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11
Q
A

Truncus arteriosus

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12
Q
A

Hypoplastic left heart

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13
Q
A

Endocardial fibroelastosis

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14
Q
A

MI

anterior wall rupture

few days after event

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15
Q
A

acute MI

extensive hemorrhage secondary to capillary ischemia + necrosis

loss of myocyte nuclei

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16
Q
A

very acute MI

extensive hemorrhage secondary to capillary ischemia and necrosis

loss of myocyte nuclei

17
Q
A

MI

infiltration of PMN

18
Q
A

MI

PMN infiltration

loss of myocyte nuclei

19
Q
A

hemorrhage into an atherosclerotic plaque in a CA

subsequent thrombus of lumen leading to acute MI

20
Q
A

old (white) MI

small ventricular aneurysm with mural thrombus

scarred wall contracts, not able to withstand force –> aneurysm

mural thrombus from acute MI

21
Q
A

old infarct with residual viable myocardium

necrosed tissue appears white (fibrosis)

22
Q
A

Severe aortic stenosis

23
Q
A

AAA (bulge)

24
Q
A

LVH

(small infarct - microscopic)

25
Q
A

White part - old infarctions

thin area could lead to aneurysms

26
Q
A

lung with edema

minimal hemorrhage typical of heart failure

27
Q
A

LVH

28
Q
A

Aortic valve with stenosis

possible vegetations

29
Q
A

vegetation on a valve

bacterial endocarditis

30
Q
A

black arrow = normal valve

red arrow = vegetation

distorted valve, partially destroyed by bacterial colonies and inflammatory cells

31
Q
A

normal valve

32
Q
A

bacterial vegetations

valve distorted, partially destroyed by bacterial colonies and inflammatory cells

33
Q
A

bacterial colonies in endocarditis

34
Q
A

aortic dissection

dissecting aneurysm

green - original channel

red - new channel

Pathology (3 decks)

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