Cardiovascular Pathology. Normal Heart .

Cardiovascular PathologyCardiovascular Pathology

Normal Heart

http://medlib.med.utah.edu/WebPath/CVHTML/CV001.html

CardiomyopathyCardiomyopathyheart is flaccid and enlargedheart is flaccid and enlarged

http://medlib.med.utah.edu/WebPath/CVHTML/CV117.html

Fibrinous Fibrinous PericarditiPericarditi

ss

http://medlib.med.utah.edu/WebPath/CVHTML/CV047.html

Pinpoint Pinpoint hemorrhages hemorrhages (epicardium (epicardium

of heart)of heart)

Often due to low Often due to low platelet count.platelet count.

http://www-medlib.med.utah.edu/WebPath/ATHHTML/ATH035.html

Bypass grafts

Coronary Coronary Artery Artery BypassBypass

Pacing wirehttp://medlib.med.utah.edu/WebPath/CVHTML/CV028.html

Interventricular Septal Interventricular Septal DefectDefect

http://www-medlib.med.utah.edu/WebPath/ATHHTML/ATH014.html

Ventricular Ventricular Aneurysm Aneurysm

following MIfollowing MI

Note: thin ventricular wall

& fibrous scar tissue

http://www-medlib.med.utah.edu/WebPath/ATHHTML/ATH014.html

The AortaThe Aorta

•The largest artery in body

•Arises from left ventricle

•Transports blood to cells throughout the body

Normal AortaNormal Aorta (cut longitudinally)(cut longitudinally)

http://www-medlib.med.utah.edu/WebPath/ATHHTML/ATH015.html

Diseased AortasDiseased Aortas

http://www-medlib.med.utah.edu/WebPath/ATHHTML/ATH017.html

Severe Arteriosclerosis Severe Arteriosclerosis (aorta)(aorta)

Aortic Aneurysm of Aortic Aneurysm of AbdomenAbdomen

AneurysmAneurysm

Abdominal Abdominal AortaAorta

http://www-medlib.med.utah.edu/WebPath/ATHHTML/ATH021.html

DissectinDissecting g

aneurysm aneurysm of aortaof aorta

splits in wallsplits in wall

Aortic Aortic AneurysAneurys

mm

Abdominal Abdominal aortaaorta

iliac iliac arteriesarteries

HemopericardiuHemopericardiumm (result of (result of

aortic dissection)aortic dissection)

http://medlib.med.utah.edu/WebPath/CVHTML/CV155.html

Aortic Aortic TearTear

http://medlib.med.utah.edu/WebPath/CVHTML/CV158.html

thrombusthrombus

Limited Dissection of Limited Dissection of AortaAorta

http://medlib.med.utah.edu/WebPath/CVHTML/CV031.html

Compression--right Carotid Compression--right Carotid

(due to aortic dissection)(due to aortic dissection)

http://medlib.med.utah.edu/WebPath/CVHTML/CV161.html

Coarctation of AortaCoarctation of Aorta(aorta narrows to about (aorta narrows to about

3mm)3mm)

Coarctation of Aorta(longitudinally opened)

Infective EndocarditisInfective Endocarditis

Acute Bacterial Acute Bacterial Endocarditis Endocarditis

(destroying aortic valve)(destroying aortic valve)

http://medlib.med.utah.edu/WebPath/CVHTML/CV040.html

Rheumatic EndocariditisRheumatic Endocariditis

Small linear hemorrhages in Small linear hemorrhages in finger in patient with infective finger in patient with infective

endocarditisendocarditis

http://medlib.med.utah.edu/WebPath/CVHTML/CV105.html

Calcified aortic stenosis-aortic Calcified aortic stenosis-aortic valvevalve

Prolapse Prolapse Mitral ValveMitral Valve

Note long, thin chordae tendinae

http://medlib.med.utah.edu/WebPath/CVHTML/CV033.html

Opened Opened coronary artery coronary artery demonstrates demonstrates

thrombosisthrombosis

Note dark red color: (consistent with myocardial

infarction)

http://www-medlib.med.utah.edu/WebPath/ATHHTML/ATH008.html

Normal Coronary ArteryNormal Coronary Artery

Narrowing of luman in coronary Narrowing of luman in coronary arteryartery

Coronary Artery ThrombosisCoronary Artery Thrombosis

Thrombus in lumen of Thrombus in lumen of coronarycoronary

plaques

plaques

http://www-medlib.med.utah.edu/WebPath/ATHHTML/ATH009.html

Narrowed Coronary Narrowed Coronary ArteryArtery

Severe Atherosclerosis Severe Atherosclerosis (with calcification)(with calcification)

MyocardiaMyocardial Rupturel Rupture

Due to transmural myocardial infarction

Myocardial Rupture Myocardial Rupture (due to MI that occured 3 days earlier)(due to MI that occured 3 days earlier)

Ventricular AneurysmVentricular Aneurysm

Thrombus in Femoral VeinThrombus in Femoral Vein

Carotid Artery

Surgery

normal heartnormal heart enlarged heartenlarged heart

(cardiomegaly)(cardiomegaly)

RadiographRadiographRight HeartRight Heart

Vena cavae

PulmonarPulmonary arteryy artery

RadiograpRadiograph Left h Left HeartHeart

•Enlarged heart (cardiomegaly) (should be width of one lung field)

•Pulmonary edema (white areas are indicative of fluid)

Congestive Heart Failure

Dextrocardia

Enlarged Enlarged HeartHeart

Summary Summary

1.Bulging segment of vessel is called:aneurysmaneurysm

2. Abnormal condition of lipid plaques is called:arteriosclerosisarteriosclerosis

3. When wall of artery splits and pulls away from vessel, this is called:dissectiondissection

4. The largest great vessel is the:aortaaorta

5. Area of heart tissue that died as result of blood clot is a:

myocardialmyocardial infarctioninfarction

6. A clot that forms in a vessel & stays at site of formation is called a:thrombusthrombus

7. A mass that floats in the blood stream & gets lodged in a vessel is an:embolusembolus

8. The medical term that means enlarged heart is:

cardiomegalycardiomegaly

9. Narrowing of a great vessel is called:coarctationcoarctation