Document number of the leaflets received and presence of chordae tendineae and papillary muscle.
Measure dimensions of each leaflet but also the combined length of the free edges (circumference) of the free edge which would reflect possible stenosis. (Normal valve circumferences: mitral 9-10cm, aortic 6-7cm, pulmonary 7-8cm, tricuspid 11-12cm.)
Note the shape of the leaflets, distortion, fusion, calcification, fibrosis, vegetation.
Take photograph of unusual findings (leaflets with vegetation or perforation).
Sample each leaflet from base to edge, submit 3-4 representative sections in one cassette. Decalcify in quick Decal solution if necessary.
If history of endocarditis clinically, submit entirely and request gram stains.
Received without fixative/in formalin, labeled _____ and “_____”, are ___ (e.g. one, two, three) shaped separate cardiac leaf lets measuring __ cm and __ cm in greatest width, respectively, with a ___ cm combined length of the free edges. One leaf let shows ____ (e.g. marketed distortion, thickening with calcification). The other leaf let is creamy white, thin and smooth on surface with __ cm attached chordae tendineae / papillary muscle that is / are ___ (unremarkable). No vegetation is identified in any of that leaf lets. Representative sections of the specimen of submitted in #___ .