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Thrombus left ventricle with healed myocardial infarction (MI). A. Ventricular slices of a heart with healed MI involving the anteroseptal wall of the left ventricle with extension from the base to the apex. Note the dilatation of the left ventricular cavity and the presence of an organizing thrombus (Th). B. Close-up view of the basal ventricular slice (middle slicefrom top row in A). Note the large transmural healed infarct with overlying organizing infarct. At autopsy, the patient had multiple infarcts in the kidneys and one in the spleen. C. A 60-year-old man with congestive heart failure and mitral regurgitation who had a healed MI of the posterolateral wall of the left ventricle at autopsy. D. Note the scarred and thinned posteromedial papillary muscle (arrow); the anterolateral papillary muscle is hypertrophied. Note the dilated left atrium (LA). Reproduced with permission from Virmani R, Burke AP, Farb A, Atkinson Source: Chapter 57. Pathology of Myocardial Ischemia, Infarction, Reperfusion, and Sudden Death, Hurst's The Heart, 13e J, eds. Cardiovascular Pathology. Vol 40, 2nd ed. Philadelphia: WB Saunders; 2001; Fig. 5–11. Citation: Fuster V, Walsh RA, Harrington RA. Hurst's The Heart, 13e; 2011 Available at: http://mhmedical.com/ Accessed: May 12, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved