here is a case that is often a thorny question from autopsy work.
The history may suggest IHD, but the possibility of ARVC comes to mind…
Right ventricular rupture
A case from Dr Agbamu
A 99 year old female who suffered a cardiac arrest at home and whose family “requested a PM be conducted to establish the exact COD.”
He says that he thought this was going to be amyloid, but the Congo red is negative, and the Masson’s trichrome suggests that the material is collagen.
The underlying questions are,
- Is “diffuse myocardial fibrosis” a recognised pathological diagnosis (as opposed to a description).
- If it is, what is the cause of “diffuse myocardial fibrosis”. Is it a consequence of senescence? Is the aortic stenosis (felt was minor) enough to account for it?
- Is there another diagnosis?
Possible Takayasu’s ??
Here is a case from Dr Desley Neil.
Do you think it is Takayasu’s or something different ?
a case of restrictive cardiomyopathy
possible restrictive cardiomyopathy
Here is a case from Dr Youd.
Do have a look and let us know your thoughts
a case of incidental or significant pathology
one of the common themes in autopsy pathology is the reality that a cardiac lesion may encountered without there being pre-mortem signs/symptoms. the significance is often unclear and several possibilities exist.
do respond with your thoughts on this case.
a case of sudden death
a case of congenital heart block
please do have a look at the case and make comments as you see fit
an adult cardiac pathology case for opinions please
please have a look and make comment/s
a paediatric pathology case
please have a look at the case and make comment/s
march 2017
so, spring beckons and I am gearing up to try and add some pages/resource to the site. watch this space !
part of this will be data from the meeting presentations.
part will be more cases for discussion.
in the interim, if you do not have the glass slides from the EQA, please try the digital version.
the question sheet is listed here:
the link to the slides is: http://histopathology-training-sheffield.org.uk/course-information/cardiovascular-pathology/
I will try to post later the prior years slides and case data/answers.
please send answers to dr martin goddard, papworth
bw
kim