CHAMBERS :
- Increased left atrial cavity size (2-4 cm generally)
- Decreased left ventricular cavity size (42-59 mm in men and 39-53 in women normally)
- Sigmoid shaped ventricular septum
VEINS :
- Aortic valve calcific deposits
- Mitral valve annular calcific deposits
- Fibrous thickening of leaflets
- Buckling of mitral leaflets towards the left atrium
- Lambl excrescenses (filiform fronds that occur at sites of valvular closure. They originate as small thrombi on endoardial suraces where the valve margins make contact)
EPICARDIAL CORONARY ARTERIES :
- Tortuosity
2. Increased cross sectional luminal area
3. Calcific deposits
4. Atherosclerotic plaque
MYOCARDIUM :
- Increased mass
- Increased subepicardial fat
- Brown atrophy (atrophy of the heart muscle described as brown as fibers become pigmented by intracellular deposits of lipofuscin, a type of lipochrome granule)
- Basophilic degeneration (an accumulation within cardiac myocytes of a gray-blue byproduct of glycogen metabolism)
- Amyloid deposits
AORTA :
- Dilated ascending aorta with rightward shift
- Atherosclerotic plaque
- Elastic fragmentation and collagen accumulation
- Elongated (tortuous) thoracic aorta
Source : Robbins and Cotran’s book of pathology


