Difference between revisions of "Talk:Congenital heart disease"
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== | ==Muscle excision== | ||
===Microscopic=== | ===Microscopic=== | ||
A. The sections show normal cardiac myocytes and mild endocardial fibrosis, covered by benign endothelial cells. There is no inflammation and no haphazard arrangement of muscle fibres. | A. The sections show normal cardiac myocytes and mild endocardial fibrosis, covered by benign endothelial cells. There is no inflammation and no haphazard arrangement of muscle fibres. | ||
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===Final diagnosis=== | ===Final diagnosis=== | ||
A. Heart, right ventricle, muscle excision - mild endocardial fibrosis. | A. Heart, right ventricle, muscle excision - mild endocardial fibrosis. | ||
B. Heart, ventricular septum, muscle excision - mild endocardial fibrosis and focal hypertrophic changes. | B. Heart, ventricular septum, muscle excision - mild endocardial fibrosis and focal hypertrophic changes. | ||
C. Infundibulum clot, excision - laminated thrombus with focal calcification. | C. Infundibulum clot, excision - laminated thrombus with focal calcification. | ||
==Septectomy== | |||
===Microscopic=== | |||
The sections show fibrous tissue and cardiac muscle covered by endothelium on two sides. There is mild muscle fibre hypertrophy with focal nuclear enlargement and mild endocardial fibroelastosis. There is no inflammation and no haphazard arrangement of muscle fibres. | |||
===Final diagnosis=== | |||
Heart, atrial septum, septectomy - Mild endocardial fibroelastosis and mild hypertrophic changes. | |||
Revision as of 22:06, 13 January 2011
Muscle excision
Microscopic
A. The sections show normal cardiac myocytes and mild endocardial fibrosis, covered by benign endothelial cells. There is no inflammation and no haphazard arrangement of muscle fibres.
B. The sections show cardiac myocytes and mild endocardial fibrosis, covered by benign endothelial cells. There is focal myofiber replacement by fibrous tissue with reactive hypertrophy (including increase of fiber size and nuclear size) of the remaining fibres. There is no inflammation and no haphazard arrangement of muscle fibres.
C. The section shows a laminated thrombus with focal calcifications and entrapped blood constituents. Special stains (GMS, Gram, PAS-D) did demonstrate micro-organisms.
Final diagnosis
A. Heart, right ventricle, muscle excision - mild endocardial fibrosis.
B. Heart, ventricular septum, muscle excision - mild endocardial fibrosis and focal hypertrophic changes.
C. Infundibulum clot, excision - laminated thrombus with focal calcification.
Septectomy
Microscopic
The sections show fibrous tissue and cardiac muscle covered by endothelium on two sides. There is mild muscle fibre hypertrophy with focal nuclear enlargement and mild endocardial fibroelastosis. There is no inflammation and no haphazard arrangement of muscle fibres.
Final diagnosis
Heart, atrial septum, septectomy - Mild endocardial fibroelastosis and mild hypertrophic changes.