Autopsy Findings of Endocardial Fibroelastosis in an Adult

Authors

  • Razuin R.
  • Nur Amirah MA
  • Mardiana AA

DOI:

https://doi.org/10.37506/ijfmt.v17i1.18896

Keywords:

Endocardial fibroelastosis; Cardiomyopathy; Sudden cardiac death; Autopsy

Abstract

Background: Endocardial fibroelastosis (EFE) is commonly presented with diffuse endocardial thickening due to
deposition of collagen and elastin, usually affecting the left ventricle of the heart. Case presentation: A 59-year-old
gentleman who had no known medical illness had collapsed while performing house chores at home. Autopsy
examination showed cyanosed lips and nail beds. The heart weighed 360 gm with distinct presence of whitish,
firm and thickened endocardium of the left ventricle. The anterior descending coronary artery showed an almost
complete occlusion by atheroma, in keeping with coronary artery disease. Mild pulmonary oedema was present.
Histological examination revealed fibroelastosis forming plaque-like covering of the inner ventricle, with patchy
myocardial fibrosis. Numerous ‘heart failure’ cells were present in the intraalveolar spaces. Conclusions: This
case showed remarkable autopsy findings of EFE in adult with evidence of congestive heart failure episodes in
his lifetime.

Author Biographies

  • Razuin R.

    Department of Forensic Pathology, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh
    Campus, Selangor, Malaysia

    Department of Forensic Medicine, Hospital Sungai Buloh, Ministry of
    Health Malaysia

  • Nur Amirah MA

    Department of Forensic Medicine, Hospital Sungai Buloh, Ministry of Health Malaysia

  • Mardiana AA

    Department of Pathology, Faculty of Medicine, Universiti Teknologi MARA, Sungai
    Buloh Campus, Selangor, Malaysia.

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Published

2022-12-21

How to Cite

Autopsy Findings of Endocardial Fibroelastosis in an Adult. (2022). Indian Journal of Forensic Medicine & Toxicology, 17(1), 66-69. https://doi.org/10.37506/ijfmt.v17i1.18896