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An autopsy is performed on a 67 year old male who had collapsed and died suddenl

ID: 3514571 • Letter: A

Question

An autopsy is performed on a 67 year old male who had collapsed and died suddenly and unexpectedly. Upon examination, a large mass is found in the descending aorta. Upon gross examination, the mass is found to be a dark red homogenous and gelatinous mass. Microscopic examination showed evidence of coagulation. Upon further examination, an occlusive granular mass was found in the proximal segment of the left anterior descending (LAD) coronary artery. Gross examination revealed a friable mass firmly attached to the endothelium. Microscopic examination revealed striations characteristic of Lines of Zahn. Based on the above information, you can with reasonable certainty conclude: A. The occlusion in the coronary artery is most likely a thromboemboli originating from undiagnosed DVT B. The aortic mass was a postmortem occurrence C. The occlusion in the LAD was formed as blood flowed through the vessel D. Lines of Zahn are consistent with arterial thrombi morphology E. The occlusion in the aorta was the probable cause of death F. The aortic mass was caused by stasis of flow

Explanation / Answer

lines of zahn are characteristic feature of the thromboemboli .

it involves thrombosis at the site of rapid blood flow which use to occur earlier.

they are particularly formed in the heart and aorta.

alternate layers of platelets and fibrin.

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