The heart has been opened to ........



















display the endothelial surface of the left ventricle, with the anterior and posterior mitral valve leaflets and the aortic valve visible. The most striking feature is the presence on the anterior wall of a 6cm diameter thrombus, adherent to the endocardium. There is evidence of old ischaemic damage to the myocardium if you look closely at the cut edge of the left ventricle.
Endocardial thrombus formation is the result of endothelial damage, usually following an acute myocardial infarction. About 50% of large anteroapical ....

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