A histological section from the aorta shows complicated atheroma with numerous cholesterol clefts and an area of calcification.
- The pericardial sac was normal, with no fluid or fibrous material inside.
- The heart weighed 500g; the myocardium was firm and showed a moderate degree of left ventricular hypertrophy.
- The coronary arteries showed moderate atheromatous changes, and the cardiac valves were normal.
- There was, however, focal severe complicated atherosclerosis in the upper third of the ascending aorta, with 30% stenosis and several ulcerated plaques.
- The venous system was normal.
- There was a small area of fibrosis present within the posterior wall of the left ventricle (see picture below).