Pathology of Cardiovascular System Flashcards
Failure of closure of fetal cardiovascular shunts
✓ patent ductus arteriosus
✓ atrial septal defect
✓ ventricular septal defect
✓ tetrad of fallot
Etiologies of congenital cardiovascular anomalies;
- Failure of closure of fetal cardiovascular shunts
- Failure of Normal Valvular Development
- Malpositioning of Great Vessels
Failure of Normal Valvular Development;
✓ pulmonic stenosis
✓ subaortic stenosis
✓ endocardial cushion defects
✓ mitral and tricuspid malformations in cats
Malpositioning of Great Vessels
✓ persistent right aortic arch
✓ transposition of aorta and pulmonary artery
Specific Congenital Anomalies;
- Patent ductus arteriosis
- Persistent right aortic arch
if PA- aorta shunt remains open, shunting usually occurs from left to right with resultant pulmonary hypertension. Inherited among POODLES, COLLIES, POMERANIANS
- Failure of the ducts arteriosis to close by 3 weeks- normally forms ligamentum arteriosum
Patent ductus arteriosis
A right aorta, instead of the normal left arches over the origin of the right bronchus.
Persistent Right Aortic Arch
(persistent foramen ovale) left to right shunting of blood (of clinical significance)
atrial septal defects
Sites of the Major Cardiovascular Anomalies of the DOG.
AS- Aortic Stenosis
ASD- Atrial Septal Defect
PDA- Patent Ductus Arteriosis
PS- Pulmonic Stenosis
VSD- Ventricular Septal defect
Subvalvular lesions are often more common. Irregular bands or ridge of fibrous tissue stretch across the subaortic endocardium
Aortic and Subaortic Stenosis
May occur at the valve site with or without supra or subvalvular constriction. Leads to right ventricular hypertrophy. Most common in dogs; BULLDOGS, CHIHUAHUA, TERRIER TYPES
Pulmonary Stenosis
Transposition Defects;
✓ Aorta and Pulmonary Artery leaving the right ventricle
✓ Aorta may straddle a septal defect and receive blood from both ventricles
✓ Eisenmengers Complex
✓ Tetralogy of Fallot
whereby the aorta is dextroposed; there is a VSD, right ventricular hypertrophy
Eisenmenger’s complex
has the same defects as Einsenmenger’s complex except with the additional pulmonary stenosis
Tetralogy of Fallot
presternally or intrabdominally located heart. Common in CATTLE and PIGS.
Ectopia Cordis
- Diffuse fibroelastic thickening of the left ventricular endocardium; necrosis and calcification of the adjacent myocardium.
- AV valves and chordae tendinae may be thickened
- Congenital form usually regarded as primary (BURMESE KITTEN). Secondary endocardial fibrosis may occur in mature animals
Endocardial Fibroelastosis