A 37 year-old-woman developed a ruptured intracranial aneurysm. During the neurosurgical procedure, a sudden heart failure developed, with dilatation of the ventricles, especially in the apical portion. The woman died shortly afterwards and served as a multiorgan donor. Images of her heart are seen.
SCVP thanks Ondrej Fabian for sharing this case.
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A catecholamine induced cardiomyopathy is a stress-related disease. The diagnosis is largely based on clinical criteria. On the gross examination, there is a dilatation of the ventricles often affecting the apical portion of the heart. Microscopically, prominent contraction bands, with or without myocyte necrosis, are typical features, together with sparse mixed inflammatory infiltration, oedema and haemorrhages.
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