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Covid-19-Associated Myopericardial Injury: A Macro and Microscopic Description

Arben Lloja, Bledar Xhemali, Elton Serani, Gentian Vyshka

Global Journal of Cardiovascular Diseases 2(1); 10.31586/gjcd.2023.721 - July 20, 2023

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Abstract

Authors describe autoptic findings of two cases whose COVID-19 diagnosis was supported by laboratory data. Both patients were Caucasian individuals of middle age (one male, 47 years old; the other a f... Read more

Figure 1. Large, hyperemic and necrotic areas in the anterior cardiac regions.

Figure 2. 2A-Left inset, edema and hyperemia in the epicardial region, with lymphocytic infiltration. Fibrin strands in the pericardial space compatible with severe fibrinous, nonspecific inflammation. 2B-Right inset, widening of intercellular space between the myocytes, with moderate presence of lymphocytic cells. (H-E; X20).

Figure 3. Macroscopic view of the heart, with fatty changes and necrotic areas.

Figure 4. 4A-Left inset, freshly extravasation of red blood cells in the background of interstitial edematous myocardium. 4B-Right inset, inflammatory cellular elements embedded inside fragmented myofibrils of the left ventricle myocardial tissue. (H-E; X100).

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