autopsy of heart external examination

7/30/2019 Autopsy of Heart External Examination

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AUTOPSY OF HEART

EXTERNAL EXAMINATION

MODERATOR

DR.KUMUDA CHALAM PROFESSOR

presenter

B.S.Chaithanya

PG


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TYPICAL GROSS

DESCRIPTION The heart (_____ g) is normally formed/other and located in

its usual position in the left chest/other, with its apex pointing to

the left/right/midline.

There is a minimal/moderate/large amount of epicardial fat.

The epicardial surface is glistening and smooth/ other.

The atrial chambers are not dilated/dilated.

The interatrial septum is intact/other.

The atrioventricular connections arepresent/other, and the

leaflets of the atrioventricular valves are thin and

delicate/other. The chordae tendineae are thin/other. The interventricular

septum is intact/other. The myocardium is firm and red-

brown/other.

The right and left ventricular free walls measure ___cm and

____ cm, respectively. The outflow tracts are widel atent/other and the semilunar


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The pulmonary artery is of appropriate caliber andconfiguration/other; its intimal surface is glistening andintact/other.

The coronary arteries course over the surface of theheart in the usual fashion/other. There is balanced/ rightdominant/left dominant coronary artery circulation.

The coronary arteries are patent/other and free ofatherosclerosis/other.

The ascending aorta is of the usual caliber and archesleft/other before descending along the left/other side ofthe vertebral column.

The major arteries arise from the aortic arch anddescending aorta in the usual configuration/other andare patent/

other. The intimal surface of the aorta is smooth/other. The

venae

cavae and other major veins are patent and thinwalled/other.


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The heart (_____ g)

easy way to remember is heartwts 4-5% of body weight .


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is normally formed/other and

located in its usual position in

the left chest/other Heart lies in the mediastinum with long

axis oriented from the hypogastrium

towards the right shoulder. Only a

small bare area is seen otherwise, it is

covered by the right and left lungs .

Two thirds of the anterior surface ofthe heart is formed by the RV and one

third by LV.


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Situs solitus with dextrocardia or situsinversus with levocardia indicate

complex anamolies there fore look for

venous anamolies .

Trace the pulmonary veins before

separating the abdominal viscera .

Check the superior venocava, often

there is a left SVC draining into thecoronary sinus or the left atria .


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its apex pointing to the

left/right/midline.

Levocardia

apex pointing to the left.

Mesocardia- apex pointing to the

midline.

Dextrocardia- apex pointing to theright .

Th i


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There is a

minimal/moderate/large amount

of epicardial fat Increased epicardial and subepicardialfat: obesity, aging

Th t i l h b t


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The atrial chambers are notdilated/dilated.


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Increased chamber size: left atrial chamberwith aging;

valvular insufficiency;

left-sided heart failure due to ischemic heart

disease, hypertension,

aortic/mitral valve abnormalities;

nonischemic myocardial diseases;

isolated primary right ventricular dilation andsecondary right atrial dilation due to right-sided heart failure from chronic pulmonaryhypertension


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The interatrial

septum is intact/other.

autopsy of heart external examination

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