By Enid Gilbert-Barness, Diane E. Debich-Spicer
A complete reference advisor to the winning functionality of pediatric autopsies and to the optimum reputation and interpretation in their pathologic findings. The authors disguise such significant developmental issues as hydrops, chromosomal defects, and congenital abnormalities, metabolic problems, and assessment the most important organ platforms. extra chapters deal with unexpected toddler loss of life, cytogenetics, the scientific and forensic post-mortem, precise strategies, cultures and an infection keep an eye on, and organic dangers on the post-mortem. various general reference tables, copious illustrations and drawings, and an appendix on the finish of every bankruptcy supply a wealth of sensible details and bibliographic citations.
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The thoracic organs are lifted from the left chest cavity following the resection of the diaphragm (arrow). A scalpel blade is used to cut the soft tissue posterior to the descending aorta (A) along the spine (S) to the level of the kidneys. The same cut is made on the right side, easily freeing up the thoracic organs (H, heart; C, colon). Fig. 32. The right diaphragm (RD) is cut along the contour of the body wall with scissors in preparation for evisceration. The same is done on the left, extending both cuts to the spine (L, liver).
The anterior descending coronary artery is used as a guide to the septum. There is fibrous continuity (arrow) between the aortic valve and the anterior leaflet of the mitral valve (MV). 22 PART II / TECHNIQUES Fig. 29. The heart in situ with ties on the vessels arising from the aortic arch (A). The four tied vessels are as follows: 1, right subclavian artery; 2, right common carotid artery; 3, left common carotid artery; 4, left subclavian artery (P, pulmonary artery; RA, right atrial appendage; T, trachea).
26). 5. Incise the posterior lateral wall of the left ventricle (LV) across the MV to the apex using the PDCA as a guide to the septum (Fig. 27). Fig. 21. (A) A persistent left superior vena cava (L), anterior view. The superior vena cava on the right (R) is in its usual position, with a hypoplastic innominate vein (arrow) (RA, right atrial appendage; A, aorta). (B) Illustration of the posterior view of a persistent left superior vena cava (PLSVC). It extends along the lateral aspect of the left atrium (LA) and around the posterior aspect of the heart to drain into the coronary sinus (A, aorta; PA, pulmonary artery; SVC, superior vena cava; IVC, inferior vena cava; RA, right atrium).
Handbook of Pediatric Autopsy Pathology by Enid Gilbert-Barness, Diane E. Debich-Spicer