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患者男性,67岁。既往身体健康,发现时死于家中。尸体解剖巨检:心脏重500 g,外观完整,各心腔未见扩张。左心室壁厚2.3 cm,右心室壁厚0.5 cm。各瓣膜未见增厚。心包及心内膜正常,冠状动脉壁增厚,动脉腔狭窄,左冠状动脉前降支管腔狭窄Ⅲ级,右冠状动脉主干管腔狭窄Ⅱ级。余器官大体观未见明显异常。镜检:心外膜未见明显增厚;心内膜可见增厚伴肉芽肿性炎;左右心房、心室肌层以及
Patient male, 67 years old. Past physical health, found dead at home. Autopsy giant check: heart weight 500 g, the appearance of intact, no expansion of the heart chamber. Left ventricular wall thickness 2.3 cm, right ventricular wall thickness 0.5 cm. No valvular thickening. Pericardial and endocardial normal, thickening of coronary artery wall, narrowing of arterial lumen, grade Ⅲ of left anterior descending coronary artery stenosis, and grade Ⅱ of stenosis of right coronary artery. The general view of the remaining organs no obvious abnormalities. Microscopic examination: no significant epicardial thickening; thickening of the endocardium with granulomatous inflammation; about the atrium, ventricular myometrial and