Cardiovascular Pathology - Case 8 - Part 4
   

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Part 4

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 By 4-9-03 the patient was no longer responsive, a coagulopathy work up including anti-cardiolipin antibodies, Factor V Leiden, and cryoglobulins was negative. A broncho-alveolar lavage failed to reveal infection or malignancy in the lung and all cultures were negative. On 4-10-03 the patient suffered a cardiac arrest. An Autopsy was performed.

This is the mitral valve that had just been inserted on 4-6-03. What do you see?

This is the surface of the kidney
This is the cut section of the kidney
This is the microscopic section of the kidney with an artery
This is the parenchyma of the kidney just downstream from that artery
Higher power of the same area of the kidney
This is a small vessel in the heart. What do you see?
This is a section of heart at low power
This is a section of heart at higher power
This was the microscopic finding in the lung at autopsy. This is a section of the right upper lobe in the region of the cavitary lesion
This is an artery adjacent to the lesion in the lung
This is a more peripheral section of lung

1. What is your diagnosis now?