ST elevation myocardial infarction case study five: Difference between revisions
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{{ST elevation myocardial infarction}} | {{ST elevation myocardial infarction}} | ||
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==Case 5: Mural Thrombus== | ==Case 5: Mural Thrombus== | ||
===Clinical Summary=== | ===Clinical Summary=== | ||
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===Autopsy Findings=== | ===Autopsy Findings=== | ||
Examination of the brain revealed extensive infarction involving the midbrain and cerebellum with complete occlusion of the upper one-half of the basilar artery; there was also extensive coronary artery atherosclerosis. | Examination of the brain revealed extensive infarction involving the midbrain and cerebellum with complete occlusion of the upper one-half of the basilar artery; there was also extensive coronary artery atherosclerosis. | ||
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===Histopathological Findings=== | ===Histopathological Findings=== | ||
[http://www.peir.net Images courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology] | [http://www.peir.net Images courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology] | ||
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[[Image:Mural thrombus 7.jpg|left|thumb|400px|This high-power photomicrograph of thrombus demonstrates more clearly the components of the layers--the pale regions which contain primarily platelets (degranulated platelets) with some fibrin (1), and the red areas which contain RBCs, some leukocytes, and fibrin (2).]] | [[Image:Mural thrombus 7.jpg|left|thumb|400px|This high-power photomicrograph of thrombus demonstrates more clearly the components of the layers--the pale regions which contain primarily platelets (degranulated platelets) with some fibrin (1), and the red areas which contain RBCs, some leukocytes, and fibrin (2).]] | ||
<br clear="left"/> | <br clear="left"/> | ||
==References== | ==References== | ||
Revision as of 21:21, 29 December 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Case 5: Mural Thrombus
Clinical Summary
A 67-year-old female was transferred to the hospital from a nursing home in a comatose state.
Physical findings on examination were compatible with brain stem infarction.
On the fourth hospital day, an electrocardiogram revealed changes compatible with anterior myocardial infarction.
The patient remained comatose with quadriplegia and died on the 16th day of hospital stay.
Autopsy Findings
Examination of the brain revealed extensive infarction involving the midbrain and cerebellum with complete occlusion of the upper one-half of the basilar artery; there was also extensive coronary artery atherosclerosis.
A large aneurysm of the left ventricle was present; this was filled with mural thrombus.
Extensive infarction of the lateral and posterior portions of the left ventricular wall toward the base of the heart was also found.
Histopathological Findings
