77 year old man with chronic cardiovascular disease and past history of venereal disease.
The left ventricle shows hypertrophy and dilatation of the chamber. The ascending aorta/arch shows a rough and wrinkled intimal surface (aortitis). In addition, there is extensive superimposed yellowish atheromatous plaques but no thrombus. The circumference of the aorta is enlarged implying aneurysmal dilatation.
The aortic valve ring is slightly widened as well, which may result in aortic incompetence. In addition, the aortic valve cusps show varying degrees of fibrosis with retraction, also contributing to aortic regurgitation. The coronary ostia are partially occluded (potential ischaemia).