KROK 1 2017 – Question 158 · KROK (Medicine) · Pathomorphology

In a body of a 37-year-old woman, who died with signs of pulmonary edema, there was detected acute deformation of the aortic valve: it is shortened, thickened, ulcerated, has areas of stone-like density. On its external surface there are large, up to 2 cm in diameter, thrombotic plaques. Left ventricle wall is 2,2 cm thick. Cardiac muscle is dull, matt, and flaccid. What type of endocarditis corresponds with described alterations of the aortic valve?

  1. A. Acute verrucous endocarditis
  2. B. Fibroplastic endocarditis
  3. C. Recurrent verrucous endocarditis
  4. D. Diffuse endocarditis
  5. E. Ulcerative polypoid endocarditis
Hint

Consider the type of valve damage, whether the tissue is destroyed or only thickened, and the size and nature of the deposits on the leaflet.

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