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Heart, left ventricular aneurysm, gross picture - Cardiovascular Pathology Atlas

There has been a previous extensive transmural myocardial infarction involving the free wall of the left ventricle. Note that the thickness of the myocardial wall is normal superiorly, but inferiorly

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Old 01-28-2009, 07:03 AM   post no: 1
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Default Heart, left ventricular aneurysm, gross picture - Cardiovascular Pathology Atlas


Heart, ventricular aneurysm, gross picture CV118.jpg There has been a previous extensive transmural myocardial infarction involving the free wall of the left ventricle. Note that the thickness of the myocardial wall is normal superiorly, but inferiorly is only a thin fibrous wall. The infarction was so extensive that, after healing, the ventricular wall was replaced by a thin band of collagen, forming an aneurysm. Such an aneurysm represents non-contractile tissue that reduces stroke volume and strains the remaining myocardium. The stasis of blood in the aneurysm predisposes to mural thrombosis.
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