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General and Systemic Histopathology, C601&C602
     
    Slide 110: Elastic artery with atherosclerosis; myocarditis
     
     
    As with so many of these conditions, just looking at the tissue on the slide tells us the story.  You can see how profoundly narrowed the vascular lumen is from the atherosclerosis.  Add to that the complete occlusion due to the thrombus and there's not much left to say.

    Look at the sections of heart for the inflammation in the myocardium.

    See this slide with the virtual microscope.

    Here is a condition you want to know well. Although this condition will be dealt with in detail in various sections of this course, here's a chance for you to study the basic morphology of the plaque for its own sake. This slide is of an elastic artery with a classical atherosclerotic plaque with secondary thrombosis. The plaque is in the sub-intima and is a fairly complex structure. Observe the cholesterol "slits." The cholesterol was "washed out" during the processing of the tissue, leaving behind the little spaces where the deposits had been. As far as problems associated with this disease, a plaque can weaken the wall of an artery, potentially causing a rupture of the vessel; it can cause thrombosis (as it did here) and thereby complete occlusion of the lumen; and it can continue to "grow." What do you think happened to the patient that gave us this slide?


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