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Pathology of Heart Disease in the Fetus, Infant and Child

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Uniquely addresses the long overdue need for an authoritative, immersive approach to paediatric cardiac pathology. For general and paediatric pathologists, this book covers all aspects of diseases and malformations of the heart. Extensively illustrated, it approaches work from the fetus to the adolescent, including the effects of surgery.

Preface

Chapter 1 The Anatomy of the Normal Heart

1. 1 Introduction

1. 2 Anatomy

1.

2. 1 Situation

1.

2. 2 Pericardium

1.

2. 3 The Right and Left Atrium

1.

2. 4 The Ventricles

1.

2. 5 Atrioventricular Valves

1.

2. 6 Interventricular Septum

1.

2. 7 Cardiac Conduction System

1.

2. 8 Arterial Valves

1.

2. 9 Coronary Arteries

1.

2. 10 Cardiac Veins

1. 3 Histology

1.

3. 1 Pericardium

1.

3. 2 Myocardium

1.

3. 3 Endocardium

1.

3. 4 Valves

1.

3. 5 Conduction Tissue

1.

3. 6 Coronary Arteries

1.

3. 7 Cardiac Veins

1.

3. 8 Cardiac Lymphatics

1.

3. 9 Aorta, Pulmonary Arteries and Arterial Duct

1.

3. 10 Nerves

1. 4 Electron Microscopy

1. 5 Weights and Measures

References

Chapter 2 Examination of the Heart

2. 1 Introduction

2. 2 Dissection

2. 3 Sequential Segmental Analysis

2.

3. 1 Situs

2.

3. 2 Topology

2.

3. 3 Segmental Connections

2.

3. 4 Atrioventricular Connections

2.

3. 5 Ventriculoarterial Connections

2. 4 Simulated Echocardiographic Views

2.

4. 1 Another Method for Opening and Sampling the Post-Mortem Heart

2. 5 Histology

2.

5. 1 Sampling for Histology

2.

5. 2 Endomyocardial Biopsy

2.

5. 3 Myectomy

2.

5. 4 Apical Biopsy

2.

5. 5 Cardiac Tumours

2.

5. 6 Atrial Appendages

2.

5. 7 Aorta

2.

5. 8 Vascular Grafts

2.

5. 9 Native Valves

2. 6 Photography

References

Chapter 3 Development of the Heart

3. 1 Introduction

3. 2 Brief Recap of Relevant Early Human Embryonic Development

3. 3 Brief Summary of Heart Development

3. 4 Early Development

3.

4. 1 The Heart Fields

3.

4. 2 The Heart Tube

3.

4. 3 Contraction

3. 5 Looping of the Heart Tube

3. 6 Development of the Chambers and Septation

3.

6. 1 Atrial Septation

3.

6. 2 The Interventricular Septum

3.

6. 3 The Atrioventricular Junction

3.

6. 4 Outflow Tract

3. 7 Pericardium

3. 8 Coronary Arteries

3. 9 Conduction Tissue

3. 10 Arterial System

3. 11 Venous System

3.

11. 1 Vitelline Veins

3.

11. 2 Umbilical Veins

3.

11. 3 Cardinal Veins

3. 12 The Fetal Circulation and Changes at Birth

3.

12. 1 The Venous Duct and Oval Foramen

3.

12. 2 Arterial Duct, Lungs and Systemic Circulation

3.

12. 3 Post-Natal Adaptation

References

Chapter 4 Congenital Heart Disease (I)

4. 1 Introduction

4. 2 Ventricular Septal Defect (VSD)

4. 3 Atrioventricular Septal Defect (AVSD)

4. 4 Atrial Septal Defect (ASD)

4. 5 Abnormalities of the Arterial Duct

4.

5. 1 Absence of the Arterial Duct

4.

5. 2 Normal Closure

4.

5. 3 Premature Closure in Utero

4.

5. 4 Persistent Patency of the Duct

4.

5. 5 Aneurysm of the Duct

4. 6 Coarctation of the Aorta

4. 7 Pulmonary Stenosis and Atresia, Including Tetralogy of Fallot

4.

7. 1 Pulmonary Atresia with Intact Interventricular Septum

4.

7. 2 Pulmonary Stenosis with Intact Interventricular Septum

4.

7. 3 Pulmonary Stenosis with VSD, Including Tetralogy of Fallot

4.

7. 4 Pulmonary Atresia with Ventricular Septal Defect

4.

7. 5 Absence of the Pulmonary Valve

4. 8 Aortic Stenosis

4.

8. 1 Valvar Stenosis

4.

8. 2 Subvalvar Stenosis

4.

8. 3 Supravalvar Stenosis

4. 9 Hypoplastic Left Heart

4. 10 Transposition of the Great Arteries

4.

10. 1 Complete Transposition

4.

10. 2 Arterial Switch Operation

4.

10. 3 Atrial Switch Operations (Mustard and Senning)

4.

10. 4 Rastelli Operation

4.

10. 5 Congenitally Corrected Transposition

4. 11 Common Arterial Trunk (Truncus Arteriosus)

References

Chapter 5 Congenital Heart Disease (II)

5. 1 Double Inlet Ventricle

5.

1. 1 Double Inlet Left Ventricle

5.

1. 2 Double Inlet Right Ventricle

5. 2 Double Outlet Ventricle

5.

2. 1 Double Outlet Right Ventricle (DORV)

5. 3 Abnormalities of the Pulmonary Veins

5.

3. 1 A Preliminary Note on Terminology

5.

3. 2 Anomalous Pulmonary Venous Connection

5.

3. 3 Pulmonary Vein Stenosis

5. 4 Ebstein's Malformation

5. 5 Tricuspid Atresia

5. 6 Other Abnormalities of the Tricuspid Valve

5.

6. 1 Unguarded Tricuspid Orifice

5.

6. 2 Absent Commissure

5. 7 Uhl's Anomaly

5. 8 Atrial Isomerism

5.

8. 1 Right Atrial Isomerism

5.

8. 2 Left Atrial Isomerism

5.

8. 3 Juxtaposition of the Atrial Appendages

5. 9 Structural Abnormalities of the Coronary Arteries

5. 10 Other Abnormalities

5.

10. 1 Persistent Left Superior Caval Vein

5.

10. 2 Aberrant Origin of Right Subclavian Artery

5.

10. 3 Kommerell's Diverticulum

5.

10. 4 Ectopia Cordis

5.

10. 5 Left Atrial Aneurysm

5. 11 Anomalies of the Venous Duct (Ductus Venosus)

5.

11. 1 Absence of the Venous Duct

5.

11. 2 Persistent Patency of the Venous Duct

5.

11. 3 Aneurysm of the Sinus of Valsalva

5.

11. 4 Aorto-Left Ventricular Tunnel

5.

11. 5 Cor Triatriatum

5.

11. 6 Aneurysm of Left Ventricle and Left Ventricular Diverticulum

5. 12 Pulmonary Vascular Disease in Congenital Heart Disease

5.

12. 1 Normal Histology

5.

12. 2 Histopathological Features of Pulmonary Hypertension

5.

12. 3 Congenital Heart Disease and Pulmonary Vascular Disease

5.

12. 4 Pulmonary Venous Hypertension

5.

12.

4. 1 Pulmonary Vein Stenosis

5.

12.

4. 2 Obstructed Total Anomalous Pulmonary Venous Connection

5. 13 Surgical Operations for Congenital Heart Disease

5.

13. 1 Patches

5.

13. 2 Modified Blalock-Taussig Shunt

5.

13. 3 Bidirectional Glenn Shunt

5.

13. 4 Damus–Kaye–Stansel (DKS) Procedure

5.

13. 5 Norwood Procedure

5.

13. 6 Fontan Procedure

5.

13. 7 Ross–Konno Procedure

5.

13. 8 Arterial Switch Operation

5.

13. 9 Rastelli Operation

5.

13. 10 Mustard and Senning Operations

5.

13.

10. 1 Mustard Operation

5.

13.

10. 2 Senning Operation

5.

13. 11 Pulmonary Artery Band

5.

13. 12 Prosthetic Heart Valves

5. 14 Assessment of the Operated Heart

References

Chapter 6 Ischaemia and Infarction

6. 1 Introduction

6. 2 Macroscopic Appearance

6.

2. 1 Subendocardial Necrosis

6.

2. 2 Papillary Muscle Rupture

6.

2. 3 Regional Infarction

6.

2. 4 Coronary Artery Atherosclerosis

6. 3 Microscopic Appearance

6.

3. 1 Dating of Injury

6.

3. 2 Haemolytic Uraemic Syndrome

6.

3. 3 Antiphospholipid Syndrome

6.

3. 4 Myocardial Calcification

References

Chapter 7 Cardiomyopathy

7. 1 Introduction

7. 2 Hypertrophic Cardiomyopathy

7. 3 Other Cardiomyopathies with a Hypertrophic Phenotype

7.

3. 1 Friedreich's Ataxia

7.

3. 2 Noonan's Syndrome

7. 4 Dilated Cardiomyopathy

7. 5 Restrictive Cardiomyopathy

7. 6 Eosinophilic Endomyocardial Disease

7. 7 Mitochondrial Cardiomyopathy

7. 8 Arrhythmogenic Cardiomyopathy

7. 9 Non-Compaction of the Ventricular Myocardium

7. 10 Histiocytoid Cardiomyopathy

7. 11 Other Forms of Cardiomyopathy

References

Chapter 8 Inflammation of the Myocardium, Endocardium and Aorta

8. 1 Introduction

8. 2 Myocarditis

8.

2. 1 Macroscopic Pathology

8.

2. 2 Microscopic Pathology

8.

2. 3 The Dallas Criteria

8.

2. 4 Giant Cell Myocarditis

8.

2. 5 Eosinophilic Myocarditis

8.

2. 6 Bacterial and Protozoal Myocarditis

8.

2.

6. 1 Bacterial Myocarditis

8.

2.

6. 2 Toxoplasma

8.

2.

6. 3 Chagas Disease

8. 3 Systemic Inflammatory Diseases with Heart Involvement

8.

3. 1 Rheumatic Disease

8.

3. 2 Lupus Erythematosus

8.

3. 3 Systemic Sclerosis

8.

3. 4 Juvenile Idiopathic Arthritis

8.

3. 5 Sarcoidosis

8. 4 Aortitis

8.

4. 1 Takayasu Arteritis

8.

4. 2 Infectious Aortitis

8. 5 Endocarditis

8.

5. 1 Infectious Endocarditis

8.

5. 2 Thrombotic Endocarditis

References

Chapter 9 The Coronary Arteries

9. 1 Introduction

9. 2 Normal Structure

9. 3 Common Normal Variants of the Coronary Arteries

9. 4 Abnormal Variations in the Epicardial Distribution of the Coronary Arteries in the Normally Form

9.

4. 1 Anomalous Origin of the Coronary Arteries from the Pulmonary Artery

9.

4. 2 Pathological Anomalous Origin of the Coronary Arteries from the Aorta

9. 5 Coronary Artery Fistula

9. 6 Coronary Artery Hypoplasia and Atresia

9. 7 Variations in the Epicardial Coronary Arteries in Congenital Heart Disease

9.

7. 1 Tetralogy of Fallot

9.

7. 2 Transposition of the Great Arteries

9.

7. 3 Common Arterial Trunk

9.

7. 4 Double Outlet Right Ventricle (DORV)

9.

7. 5 Hypoplastic Left Heart

9.

7. 6 Congenitally Corrected Transposition

9. 8 Vasculitis Including Kawasaki Disease

9.

8. 1 Kawasaki Disease

9.

8. 2 Polyarteritis Nodosa

9. 9 Eosinophilic Granulomatosis with Polyangiitis (Formerly Churg-Strauss Syndrome)

9. 10 Thrombosis and Embolism

9. 11 Fibromuscular Dysplasia

9. 12 Segmental Arterial Mediolysis

9. 13 Idiopathic Arterial Calcification

References

Chapter 10 Metabolic and Storage Disease

10. 1 Introduction

10. 2 Glycogen Storage Disorders

10.

2. 1 Brief Overview of Glycogen Metabolism (Figure

10. 1)

10.

2. 2 Pompe Disease (Glycogen Storage Disease (GSD) II)

10.

2. 3 Danon Disease

10.

2. 4 GSD III (Cori Disease, Debranching Enzyme)

10.

2. 5 GSD IV (Andersen Disease, Branching Enzyme)

10.

2. 6 GSD IX (Phosphorylase b Kinase Deficiency)

10.

2. 7 GSD XV (Glycogenin Deficiency)

10.

2. 8 GSD 0 (Glycogen Synthase Deficiency)

10.

2. 9 PRKAG2 Deficiency

10.

2. 10 Polyglucosan Storage Disease

10. 3 Lysosomal Storage Disorders

10.

3. 1 Anderson–Fabry Disease

10.

3. 2 Gaucher Disease

10.

3. 3 Niemann–Pick Disease

10. 4 Mucopolysaccharidosis

10. 5 Disorders of Fatty Acid Metabolism

10.

5. 1 Medium-Chain Acyl Co-A Dehydrogenase Deficiency (MCAD)

10.

5. 2 Very-Long-Chain Acyl Co-A Dehydrogenase Deficiency (VLCHAD)

10.

5. 3 Trifunctional Protein Deficiency and Long-Chain 3-hydroxyacyl Co-A Dehydrogenase Deficiency (

10.

5. 4 Carnitine Deficiency

10.

5. 5 Carnitine-Acylcarnitine Translocase Deficiency

10.

5. 6 Carnitine Palmitoyl Transferase 2 Deficiency

10. 6 Congenital Disorders of Glycosylation

10. 7 Disorders of Iron Metabolism

10.

7. 1 Hereditary Haemochromatosis

10.

7. 2 Neonatal Haemochromatosis/Gestational Alloimmune Liver Disease

10. 8 Organic Acidaemias and Disorders of Amino Acid Metabolism

10.

8. 1 Propionic Acidaemia

10.

8. 2 Methylmalonic Aciduria

10.

8. 3 Methylglutaconic Aciduria

10.

8. 4 Tyrosinaemia

10.

8. 5 Oxalosis

10.

8. 6 Homocystinuria

References

Chapter 11 Pericardium

11. 1 Introduction

11. 2 Congenital Defects of the Pericardium

11. 3 Cysts and Diverticula

11. 4 Heterotopia

11. 5 Effusions and Tamponade

11. 6 Epicardial Haemorrhage

11. 7 Haemopericardium

11. 8 Pneumopericardium

11. 9 Pericarditis

11.

9. 1 Acute Purulent Pericarditis

11.

9. 2 Tuberculous Pericarditis

11.

9. 3 Other Causes of Pericarditis

11.

9. 4 Uraemic Pericarditis

11. 10 Post-pericardiotomy Syndrome

11. 11 Constrictive Pericarditis

11. 12 Pericardial Tumours

References

Chapter 12 Fetal Cardiovascular Disease

12. 1 Introduction

12. 2 The Normal Fetal Heart

12. 3 Fetal Hydrops

12.

3. 1 Premature Shunt Closure

12.

3. 2 Arrhythmia

12.

3. 3 Maternal Lupus

12. 4 Syndromes with Heart Malformations

12.

4. 1 Chromosomal Abnormality

12.

4.

1. 1 Down's Syndrome: Trisomy 21

12.

4.

1. 2 Trisomy 18

12.

4.

1. 3 Trisomy 13

12.

4.

1. 4 Triploidy

12.

4.

1. 5 Turner's Syndrome (45,XO)

12.

4.

1. 6 Other Chromosomal Abnormalities

12.

4.

1. 7 22q11.2 Microdeletion Syndrome

12.

4.

1. 8 Arteriohepatic Dysplasia (Alagille Syndrome)

12.

4.

1. 9 CHARGE Syndrome

12.

4.

1. 10 Noonan's Syndrome

12.

4.

1. 11 Williams Syndrome

12.

4.

1. 12 Marfan Syndrome

12.

4.

1. 13 VACTERL/VATER Association

12.

4.

1. 14 Holt-Oram Syndrome

12.

4.

1. 15 Carney Complex

12.

4.

1. 16 Loeys-Dietz Syndrome

12.

4.

1. 17 Ehlers-Danlos Syndrome

12.

4.

1. 18 Homozygous Familial Hypercholesterolaemia

12. 5 Structural Heart Disease in the Fetus

12. 6 Fetal Cardiomyopathy

12. 7 Fetal Myocarditis

12. 8 Fetal Arrhythmia

12.

8. 1 Fetal Tachycardia

12.

8. 2 Fetal Bradycardia

12.

8. 3 Long QT Syndrome

12. 9 Fetal Tumours

12. 10 Twin-Twin Transfusion Syndrome

12. 11 Conjoined Twins

12.

11. 1 Parasitic and Acardiac Twins

References

Chapter 13 Tumours

13. 1 Introduction

13. 2 Rhabdomyoma

13. 3 Fibroma

13. 4 Teratoma

13. 5 Myxoma

13. 6 Vascular Tumours

13. 7 Cystic Tumour of the Atrioventricular Node

13. 8 Inflammatory Myofibroblastic Tumour

13. 9 Juvenile Xanthogranuloma

13. 10 Histiocytoid Cardiomyopathy

13. 11 Lipoma and Other Fatty Lesions

13. 12 Primary Malignant Tumours

13. 13 Secondary Tumours

13. 14 Pseudoneoplasms

13.

14. 1 Hamartoma of Mature Cardiac Myocytes

13.

14. 2 Calcified Amorphous Cardiac Tumour

13.

14. 3 Mesothelial/Monocytic Incidental Cardiac Excrescences (MICE)

13.

14. 4 Papillary Fibroelastoma

References

Chapter 14 Heart Transplantation

14. 1 Introduction

14. 2 Assessment of the Explanted Heart

14.

2. 1 General Features

14.

2. 2 Cardiomyopathy

14.

2.

2. 1 General Pathological Features

Special Stains

Special Diagnostic Investigations (Including Electron Microscopy)

14.

2.

2. 2 Dilated Cardiomyopathy

Macroscopic Features

Microscopic Features

14.

2.

2. 3 Non-compaction of the Ventricular Myocardium

General Features

Macroscopic Features

Microscopic Features

14.

2.

2. 4 Hypertrophic Cardiomyopathy

Macroscopic Features

Microscopic Features

14.

2.

2. 5 Restrictive Cardiomyopathy

Macroscopic Features

Microscopic Features

14.

2.

2. 6 Mitochondrial Cardiomyopathies

Macroscopic Features

Microscopic Features

14.

2.

2. 7 Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC)

Macroscopic Features

Microscopic Features

14.

2.

2. 8 Ventricular Assist Device (Berlin Heart or HeartWare)

14.

2. 3 Myocarditis

14.

2. 4 Explanted Hearts with Congenital Heart Disease

14.

2.

4. 1 Technical Considerations

Dissection

14.

2.

4. 2 Some Specific Conditions

Hypoplastic Left Heart

Tetralogy of Fallot

Failed Atrial Switch Operation

Congenitally Corrected Transposition

Ebstein's Anomaly

Atrial Isomerism

Failing Fontan

14. 3 The Pathology of the Implanted Heart

14.

3. 1 Primary Graft Dysfunction

14.

3. 2 Hyperacute Rejection

14.

3. 3 Acute Cellular Rejection

14.

3. 4 Antibody-Mediated Rejection

14.

3. 5 Chronic Allograft Vasculopathy

14. 4 Post-Transplant Endomyocardial Biopsy

14. 5 Allograft Rejection and Graft Dysfunction (Both Acute and Chronic)

14. 6 Specimen Handling

14. 7 Artefacts and Variants of Normal

14. 8 Acute Cellular Rejection

14.

8. 1 Early (Perioperative) Ischaemic Injury

14.

8. 2 Quilty Effect

14.

8. 3 Previous Biopsy Site

14. 9 Antibody-Mediated Rejection

14. 10 Post-Transplant Lymphoproliferative Disorder

14. 11 Post-Transplant Infection of the Myocardium

14. 12 Chronic Allograft Vasculopathy

14. 13 Recurrent Disease in the Transplanted Heart

14. 14 Failure of the Cardiac Graft and Its Removal at a Second Transplant Operation

14.

14. 1 Clinical Features

14.

14. 2 Macroscopic

14.

14. 3 Microscopic

14. 15 Post-Mortem in the Transplanted Heart

References

Chapter 15 Sudden Cardiac Death in the Young

15. 1 Introduction

15. 2 Investigation

15. 3 Congenital Heart Disease

15. 4 Coronary Artery Origin Abnormalities

15. 5 Cardiomyopathy

15.

5. 1 Dilated Cardiomyopathy

15.

5. 2 Hypertrophic Cardiomyopathy

15.

5. 3 Restrictive Cardiomyopathy

15. 6 Aortic Dissection

15. 7 Myocarditis

15. 8 Metabolic Disease

15.

8. 1 Disorders of Fatty Acid Oxidation

15.

8. 2 Mitochondrial Disorders

15. 9 Heart Rhythm Disorders

15. 10 Sudden Infant Death Syndrome

15. 11 Tumours

15. 12 Commotio Cordis

15. 13 Other Rare Causes of Sudden Cardiac Death

References

Index

Detalii
  • ISBN: 9781107116283
  • Autori: Michael T. Ashworth
  • Limba: English
  • An apariție: 2019
  • Coperta: Hardcover
  • Editura: Cambridge Unversity Press
  • Nr. pagini: 500
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