I. CVPath human pathology laboratory is limited to the analysis of cardiovascular specimens including:

• Tissue

- Heart (postmortem and explant gross and microscopic evaluation)
- Endomyocardial biopsy
- Myocardial Biopsy/resection (including tumors)
- Pericardial Biopsy/resection
- Native heart valves
- Vascular Specimens: Aorta and branches; temporal artery
- Kidneys (postmortem evaluation for hypertension)

• Cardiovascular slides/blocks: slides and blocks are accepted for evaluation

Cardiac Devices:

- Stents and stent grafts
- Mechanical/Bioprosthetic valves/prosthetic heart valve rings
- Devices used to treat congenital heart disease including occluder devices and coils
- Pericardial devices
- Pacemaker wire sites
- Ventricular assist devices

II. CVPath human pathology laboratory does not examine the following specimens:

- Cytology Specimens
-
Testing for pacemaker and defibrillators
- Tissue from central nervous system
- Tissues that contain radioactive materials

Pathologic examination is performed using routine light microscopy with H&E (Hematoxylin and eosin stain) and other histochemical stains as needed. For specialized tests, such as transmission electron microscopy or immunohistochemistry outside laboratories are utilized.

Consultation Request

Procedure for shipping wet fixed-tissue.

1. Whole hearts should be immersion or perfusion-fixed at least 24 hours prior to shipping for histology. Do not over-fix specimens - please ship within 48 hours post-fixation.
2. Remove most of the formalin and wrap the specimen in gauze soaked in fixative and place in two zip-lock or heat-sealed bags.
3. Label the bag with an adhesive printed label containing the specimen identification (i.e. animal number.)
4. Place the sealed bags in a screw-top plastic container to avoid crushing.
5. Label the outside of the plastic container with specimen ID, Contributor/Sponsor, Study/Protocol Number, or any other pertinent information to identify the specimen.
6. Include with the specimen: paperwork, protocol, necropsy/pathology report (if applicable,) work requested (i.e., light microscopy, scanning/transmission microscopy, etc.)
7. The paperwork MUST INCLUDE a chain of custody form and an inventory of all items shipped (including paperwork) with a FAX return number to record that specimens arrived to CVPath.
8. Place in an appropriate box lined with plastic bags, cover the individual containers with bubble-wrap, and place specimens in the box making sure the containers are snug. Place all paperwork in a zip-lock bag to be included in the shipment. Seal box with packing tape.
9. PLEASE NOTIFY CVPATH (email: info@cvpath.org ) AT LEAST 24 HOURS IN ADVANCE WITH THE SHIPMENT AND INCLUDE TRACKING NUMBER.
10. Shipping address:
Renu Virmani, MD
19 Firstfield Road
Gaithersburg, MD 20878
Tel: (301) 208-3570



Interesting or Difficult Surgical / Autopsy Cases

- Clinical Information
- Surgical Pathology Report
- Slides
- Blocks or West Tissue
- Autopsy Protocol


Hearts without Dissection

-
Perfusion Fixation

Hearts after Dissection

Cardiac Examination Form



19 Firstfield Road • Gaithersburg, MD 20878 • Email: info@cvpath.org • Main: 301.208.3570 • Fax: 301.208.3745