case_images: PMC6713204_01
case_images: Hypertrophy of skeletal musculature and tattoos in shoulder, arm, thorax (A), and thigh (B).
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case_images: PMC6713204_01_TFSR_A_1595350_F0001_C.jpg
case_images: F0001
case_images: The corpse showed hypertrophy of skeletal musculature, with low amount of subcutaneous fat and several tattoos in shoulders, arms, thighs, and thorax (Figure 1).
case_images: Macroscopic examination of the heart: areas of scarring located at the intersection between the posterior wall and the posterior third of the septum (postero-septal).
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case_images: PMC6713204_01_TFSR_A_1595350_F0002_C.jpg
case_images: F0002
case_images: The ventricular thickness was within the upper normal ranges (left ventricular free wall 15 mm, ventricular septum 15 mm, right ventricular free wall 5 mm) (Figure 2). Areas of scarring were located at the intersection between the posterior wall and the posterior third of the septum (postero-septal) (Figure 2).
case_images: Macroscopic examination of the coronary arteries: severe atherosclerosis with acute occlusive thrombosis at the left main trunk and left anterior descendant.
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case_images: F0003
case_images: Coronary arteries, with a right dominance, had a normal origin and course, showing severe atherosclerosis (>75% stenosis) with acute superimposed occlusive thrombosis at the left main trunk and left anterior descendant (LAD) (Figure 3).
case_images: Early acute myocardial infarction at the anterior third of the septum and left ventricle anterior wall: wave fibers with elongation and narrowing as an early sign of acute ischemic damage and mild edema (HE, x10).
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case_images: F0004
case_images: Acute myocardial infarction at the anterior third of the septum and the left ventricle (LV) anterior wall (Figure 4), subacute myocardial infarction at apical septum and apical posterior LV wall (Figure 5), myocytes hypertrophy (Figure 6) and small intramyocardial vessel disease (Figure 7) were detected.
case_images: Subacute myocardial infarction at the left ventricular free wall and septum: loose connective tissue with capillaries and inflammatory infiltrate (HE, x10).
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case_images: PMC6713204_01_TFSR_A_1595350_F0005_C.jpg
case_images: F0005
case_images: Acute myocardial infarction at the anterior third of the septum and the left ventricle (LV) anterior wall (Figure 4), subacute myocardial infarction at apical septum and apical posterior LV wall (Figure 5), myocytes hypertrophy (Figure 6) and small intramyocardial vessel disease (Figure 7) were detected.
case_images: Myocytes hypertrophy with dysmetric and dysmorphic nuclei (HE, x10).
case_images: TFSR_A_1595350_F0006_C.jpg
case_images: PMC6713204_01_TFSR_A_1595350_F0006_C.jpg
case_images: F0006
case_images: Acute myocardial infarction at the anterior third of the septum and the left ventricle (LV) anterior wall (Figure 4), subacute myocardial infarction at apical septum and apical posterior LV wall (Figure 5), myocytes hypertrophy (Figure 6) and small intramyocardial vessel disease (Figure 7) were detected.
case_images: Small intramyocardial vessels disease with media hypertrophy (Masson Trichrome 20x).
case_images: TFSR_A_1595350_F0007_C.jpg
case_images: PMC6713204_01_TFSR_A_1595350_F0007_C.jpg
case_images: F0007
case_images: Acute myocardial infarction at the anterior third of the septum and the left ventricle (LV) anterior wall (Figure 4), subacute myocardial infarction at apical septum and apical posterior LV wall (Figure 5), myocytes hypertrophy (Figure 6) and small intramyocardial vessel disease (Figure 7) were detected.
case_images: Severe atherosclerosis with acute occlusive thrombosis at the (A) left main trunk (Masson Trichrome, x2), and (B) left anterior descendant (Masson Trichrome, x4).
case_images: TFSR_A_1595350_F0008_C.jpg
case_images: PMC6713204_01_TFSR_A_1595350_F0008_C.jpg
case_images: F0008
case_images: Furthermore, the macroscopic findings described in the coronary arteries were confirmed (Figure 8).