By P. Chopra, R. Ray, A. Saxena
Cardiovascular ailments have emerged as a tremendous illness in India and different constructing nations. Emphasizing cardiovascular illnesses in those parts, the Illustrated Textbook of Cardiovascular Pathology has been compiled to be used via citizens and experts in pathology, cardiology, cardiothoracic surgical procedure, and inner medication. Its uncomplicated and systematic strategy is straightforward to learn and obviously delineates the sickness technique. an summary of the traditional middle offers some extent of reference for additional dialogue. a simple method of congenital middle affliction review utilizing line diagrams is helping facilitate and solidify figuring out.
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Multifocal lymphocytic infiltrates were observed. In one of the biopsy fragments a large focus of interstitial infiltrate along with myonecrosis is seen 59 60 Fig. 12a: Cardiac allograft rejection Grade 3B (ISHLT). Diffuse and extensive infiltrate is present in the interstitium. Foci of myocyte necrosis are also seen Fig. 12b: Cardiac allograft rejection Grade 3B (ISHLT). Extensive diffuse infiltrate with widespread replacement of the myofibers is seen. Other biopsy fragments also showed a diffuse infiltrate Fig.
Marked thickening of the endocardium is seen to affect either of one or both 32 33 Fig. 14: Endomyocardial fibrosis. Opened up left ventricle to demonstrate part of the left ventricular inflow tract, apex, left ventricular outflow tract, the aortic valve and ascending aorta. The endocardium is markedly thickened and appears like a white curtain in the left ventricular inflow tract. A distinct cleavage is seen between the endocardium and the myocardium. Fibrosis stops short as a well demarcated ridge in the left ventricular outflow tract 2 cm below the aortic valve.
B) Left ventricular angiogram in anteroposterior view demonstrating apical obliteration with rounding of the left ventricular apex (first appearance) Note: Patient was a 25 years old female presenting with features of congestive heart failure and dyspnea. The clinical picture and echocardiographic findings were suggestive of restrictive cardiomyopathy. 22a and b: (a) Echocardiography in parasternal long axis view showing markedly thickened and echogenic left ventricular wall. (b) M Mode echocardiography in the same patient showing markedly thickened left ventricular posterior wall (LV) and interventricular septum (IVS) Note: Patient was a 60-year-old female who presented with features of restrictive heart disease < previous page page_127 < previous page page_128 Page 128 next page > next page > myocardium reveals streaks of fibrous tissue.