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.”

Right Ventricular Rupture3

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,

  1.  Is “diffuse myocardial fibrosis” a recognised pathological diagnosis (as opposed to a description).
  2. 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?
  3.  Is there another diagnosis?

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:

Cardiac EQA series 5

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