I/2.1: Main data of the presented specimen case, I/2.2: Description of the specimen
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I/2.1: Main data of the presented specimen case
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Patient’s name:
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56 years
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Patient’s sex:
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male
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Baseline pathological disease:
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Severe arteriosclerosis of all coronary arteries, especially in the circumflex branch of the left coronary artery
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Pathological complication:
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Old myocardial infarction of the left ventricle’s lateral wall
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Pathological complication:
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Chronic aneurysm of the left ventricle’s lateral wall with thrombosis
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Pathological complication:
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Moderate ventricular dilatation
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Pathological complication:
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Cerebral thromboembolism
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Pathological cause of death:
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Acute cerebral infarction
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Histopathological diagnosis:
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Old myocardial infarction with thrombosis
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I/2.2: Description of the specimen
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A heart weighing … g with the visceral pericardium showing scarred thickening at some places on the surface; otherwise it is smooth, shiny and reflective, and the fat layer is hypertrophic underneath. The heart chambers are mildly dilated, left ventricle wall thickness is … cm, and right ventricle wall thickness is … cm. The cardiac valves are membranous, intact and can be elevated in all positions. There is a baglike protrusion on the upper third of the lateral wall of the left ventricle and this prtotrusion even alters the heart’s outer surface’s shape here, and forms a cavity with a … cm inner diameter. In the cavity, there is a round, mottled, subacute thrombus of … cm, with uneven surface which sticks to the wall and has a stratified structure on the cut surface.
The cavity’s wall is tapered, it is only 0.1 mm at places, and it is scarred, leathery and hard. The coronary arteries’ pathway is straight and regular, their lumen is significantly narrowed by calcified plaques, especially in the left circumflex branch where the narrowing measures several centimeters.
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Utolsó módosítás: 2014. March 7., Friday, 08:10