Chronic Rheumatic Aortic Valvular Disease

Clinical History

This 52 year old male was unable to give a coherent history prior to physical examination. Examination revealed a distressed, restless man with cyanosed extremities. He had a feeble pulse rate of 120. Respiratory rate 44/min. Auscultation of the heart was difficult. There was gallop rhythm and diastolic murmur at the apex. External jugular veins were distended and the pulsation was observed at the level of the ears. Four days following admission there was a sudden collapse and death.

Pathology

The specimen is of aortic valve. There is marked thickening and calcification of the cusps. The aorta and coronary ostia appear normal.