Difference between revisions of "Mitral valve grossing"

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==Introduction==
==Introduction==
*The most common pathology is [[mitral valve prolapse]].{{fact}}
*In the Western world, the most common pathology is [[mitral valve prolapse]].{{fact}}
*Historically, a very common pathology was [[rheumatic heart disease]].  This classically has a fish-mouth appearance (valve orfice is slit-like, due to valve thickening) and is associated with cordae tendinae abnormalities.
*Historically, [[rheumatic heart disease]] was very common. This is still significant in developing countries.<ref name=pmid23703332>{{Cite journal  | last1 = Kumar | first1 = RK. | last2 = Tandon | first2 = R. | title = Rheumatic fever & rheumatic heart disease: the last 50 years. | journal = Indian J Med Res | volume = 137 | issue = 4 | pages = 643-58 | month = Apr | year = 2013 | doi =  | PMID = 23703332 }}</ref> This classically has a fish-mouth appearance (valve orfice is slit-like, due to valve thickening) and is associated with cordae tendinae abnormalities.
*It may under go [[myxomatous degeneration]], as can be seen in [[Marfan syndrome]].
*It may under go [[myxomatous degeneration]], as can be seen in [[Marfan syndrome]].


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===Protocol notes===
===Protocol notes===
*May be a gross only diagnosis.
*May be a [[gross only diagnosis]].
*Sections are cut perpendicular to the free edge should include cordae tendinae.
*Sections are cut perpendicular to the free edge should include cordae tendinae.


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==References==
==References==
{{Reflist|1}}
{{Reflist|1}}
==Sign-off==
 
[[Category:Gross pathology]]
[[Category:Gross pathology]]
[[Category:Cardiovascular pathology]]
[[Category:Cardiovascular pathology]]

Latest revision as of 05:14, 12 September 2014

This article covers mitral valve grossing.

The aortic valve is dealt with in a separate protocol.

Introduction

Protocol

  • Specimen: mitral valve tissue.
  • Number of leaflets: [ number ].
  • Measurements:
    • Valve (base-to-free edge x along the free edge x thickness): H x L x T, H x L x T and H x L x T cm.
    • Cordae tendinae (length x thickness): L x T cm.
  • Calcification: [ absent / suspicious / present ], [ minimal / moderate / marked ].
  • Vegetations: [ none / suspicious / present ].
  • Thinning: [ absent / present ].
  • Hooding: [ absent / present / marked ].
  • Cordae tendinae: [ normal / thickened / shorted / fused ].
  • Additional findings: [ none / fish mouth appearance ].
  • Representative sections are submitted from each cusp in block A1.

Protocol notes

  • May be a gross only diagnosis.
  • Sections are cut perpendicular to the free edge should include cordae tendinae.

Alternate approaches

See also

Related protocols

References

  1. Kumar, RK.; Tandon, R. (Apr 2013). "Rheumatic fever & rheumatic heart disease: the last 50 years.". Indian J Med Res 137 (4): 643-58. PMID 23703332.