Practical for CVS

1. CVS PRACTICAL
MAY 2022

3. Erythema marginutum

4. Aschoff nodules

5. Aschoff body giant cells

7. Caterpillar cell

8. Acute mitral RF valvulitis
• Acute rh fever mitral
valvulitis

9. Healed RHD ( shortening and
thickening of chordae)

10. Scarring
• Mtral valve scarring
from RF

11. RF- Rupture of chordae tendineae

12. Mitral valve stenosis ( fish mouth)

13. Post-Rheumatic Mitral Valve

14. Aortic stenosis –RHD

15. Mural thrombus in L atrium

16. Ball thrombus L atrium

17. Large organizing thrombus in left ventricle,
small organizing in left auricle.

18. Post MI with thrombus formation

19. MI with thrombus formation

20. Saddle embolism

21. Pulmonary thromboembolism

22. Pulmonary embolism microscopy

23. Acute infective endocarditis

24. Acute Bacterial Endocarditis
(destroying aortic valve)
http://medlib.med.utah.edu/WebPath/CVHTML/CV040.html

25. Severe IE

26. Rheumatic Endocariditis

27. Low power view –note colonies and
fibrin deposition

28. Blue colonies into myocardium

29. Fungal subacute endocarditis T/Valve

30. • Fungal endocarditis

31. Fibrinous pericarditis

32. Sero-fibrinous pericarditis

33. Purulent
pericarditis

34. Haemorrhagic pericarditis

35. • Petichial
haemorrhages

36. Aorta: mild, moderate and severe
atherosclerosis

37. Atherosclerosis- cholesterol clefts

38. High power- cholesterol clefts,
foam cells

39. Coronary Artery Thrombosis

40. Thrombus in lumen of coronary
plaques
plaques
http://www-medlib.med.utah.edu/WebPath/ATHHTML/ATH009.html

41. Coronary atherosclerosis and
calcification

42. Atherosclerotic plaque (L) and
thrombus R

43. thrombus

44. Atheroma with foam cells and
cholesterol cleft

45. Atherosclerosis of cory artery

48. Recanalization

49. Complicated lesion of
atherosclerosis

50. Acute myocardial infarction-left v.
wall and septum

51. Acute MI

52. Acute and Old MI

54. Wavy fibres and early
inflammatory cells

56. Acute MI Hpower

57. Rupture of papillary muscle

58. Rupture of MI

59. Myocardial infarction (old)

60. Healed MI

61. Ventricular aneurysm
• The anterior left ventricle near
the apex (left side of the photo)
is reduced to a thin layer of
calcified scar tissue.

62. Ventricular
Aneurysm
following MI
Note: thin ventricular wall
& fibrous scar tissue
http://www-medlib.med.utah.edu/WebPath/ATHHTML/ATH014.html

63. Dilated cardiomyopathy

64. Cardiomyopathy –note
hypertrophic muscle fibres &
fibrosis

65. Hypertrophic cardiomyopathy

66. Restrictive Cardiomyopathy-bilateral

67. Restrictive cardiomyopathy- interst fibrosis

68. CMP in haemochromatosis

69. Familial amyloid cardiomyopathy

70. Amyloid CMP

71. Cardiac amyloid

73. Birefringent with polarized light

74. Endocardial fibroelastosis

75. Calcific aortic stenosis
•

76. Hypertrophy- concentric

77. Atrial septal defect

78. VSD in a stillborn baby with Down’s
syndrome

79. Coarctation of aorta

80. Coarctation of aorta

81. Truncus arteriosus with atrial and ventricular septal defects.

83. Mitral valve prosthesis

84. Cardiac Pace maker.

85. Atherosclerotic aneurysm-abd
aorta.

86. Aneursym opened to reveal mural
thrombus

87. thrombus
Limited Dissection of Aorta
http://medlib.med.utah.edu/WebPath/CVHTML/CV031.html

88. Berry aneurysms

89. Mycotic aneurysm of brain
•

90. Hemopericar
dium (result
of aortic
dissection)
http://medlib.med.utah.edu/WebPath/CVHTML/CV155.html

91. Hyaline arteriolosclerosis

92. Renal hyperplastic
arteriolosclerosis

93. Accelerated Malignant
hypertension

95. Fibrinoid necrosis in malignant
hypertension.

96. Basal ganglia haemorrhage due to
hypertension

97. Monckeberg’s medial calcific
sclerosis

98. Atrial myxoma

99. Atrial myxoma

100. Metastatic melanoma to
myocardium

101. Capillary haemangioma

102. Cavernous hemangioma liver
•

103. Liver haemangioma

104. Carvenous haemangioma

106. Haemangioendothelioma

108. Cutaneous angiosarcoma -thigh

110. Cutaneous angiosarcoma

111. Epidemic KS

113. KS

115. Carvenous lymphangioma