Myocardial Infarct

Clinical History

Following a myocardial infarct one year previously, this 59 year old man developed angina pectoris. He was admitted to hospital after a bout of severe chest pain and died three days later.

Pathology

The heart has been sliced to display the left ventricle. At the lower left of the specimen, in the antero-septal region, near the apex of the left ventricle, is an irregular yellow necrotic area 4 cm in length. A thin zone of congestion surrounds this area and a mural thrombus is adherent to the overlying endocardium. The left ventricle is hypertrophied. This is an antero-septal infarct.