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    Autopsy of Heart External Examination

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    chinnnababu
    The heart weighed _____ grams and was located in its normal position in the left chest, with its apex pointing to the left. The epicardial surface was smooth with a minimal/moderate amount of epicardial fat. The atrial chambers were not dilated and the interatrial septum was intact.

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    Autopsy of Heart External Examination

    Uploaded by

    chinnnababu
    148 views20 pages
    The heart weighed _____ grams and was located in its normal position in the left chest, with its apex pointing to the left. The epicardial surface was smooth with a minimal/moderate amount of epicardial fat. The atrial chambers were not dilated and the interatrial septum was intact.

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    The heart weighed _____ grams and was located in its normal position in the left chest, with its apex pointing to the left. The epicardial surface was smooth with a minimal/moderate amount of epicardial fat. The atrial chambers were not dilated and the interatrial septum was intact.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    148 views20 pages

    Autopsy of Heart External Examination

    Uploaded by

    chinnnababu
    The heart weighed _____ grams and was located in its normal position in the left chest, with its apex pointing to the left. The epicardial surface was smooth with a minimal/moderate amount of epicardial fat. The atrial chambers were not dilated and the interatrial septum was intact.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 20

    AUTOPSY OF HEART EXTERNAL EXAMINATION

    MODERATOR DR.KUMUDA CHALAM PROFESSOR

    presenter B.S.Chaithanya PG

    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 redbrown/other. The right and left ventricular free walls measure ___cm and ____ cm, respectively. The outflow tracts are widely patent/other, and the semilunar

    The pulmonary artery is of appropriate caliber and configuration/other; its intimal surface is glistening and intact/other. The coronary arteries course over the surface of the heart in the usual fashion/other. There is balanced/ right dominant/left dominant coronary artery circulation. The coronary arteries are patent/other and free of atherosclerosis/other. The ascending aorta is of the usual caliber and arches left/other before descending along the left/other side of the vertebral column. The major arteries arise from the aortic arch and descending aorta in the usual configuration/other and are patent/ other. The intimal surface of the aorta is smooth/other. The venae cavae and other major veins are patent and thin walled/other.

    The heart (_____ g)

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

    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 of the heart is formed by the RV and one third by LV.

    The heart has base and apex . The base is formed by the atria and greater vessels which tether the heart. Normally two thirds of the heart is to the left of the midline . Situs solitus- normal position of organs Situs inversus complete reversal of normal position Situs ambigous-situs is not clear ie some organs are in normal position while others are inversus .

    Situs solitus with dextrocardia or situs inversus 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 the coronary sinus or the left atria .

    its apex pointing to the left/right/midline.


    Levocardia apex pointing to the left. Mesocardia- apex pointing to the midline. Dextrocardia- apex pointing to the right .

    There is a minimal/moderate/large amount ofIncreased epicardial and subepicardial epicardial fat


    fat: obesity, aging

    The atrial chambers are not dilated/dilated.

    Increased chamber size: left atrial chamber with 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 and secondary right atrial dilation due to rightsided heart failure from chronic pulmonary hypertension

    The interatrial septum is intact/other.

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