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On gross examination the heart showed cardiomegaly (420 g) being the expected heart weight in relation to body weight of 358 g (range 271–473 g) according to Kitzman et al. The ventricular thickness was within the upper normal ranges (left ventricular free wall 15 mm, ventricular septum 15 mm, right ventricular free wall 5 mm) ( Figure 2 ). Coronary arteries, with a right dominance, had a normal origin and course, showing severe atherosclerosis (>75% stenosis) with acute superimposed occlusive thrombosis at the left main trunk and left anterior descendant (LAD) ( Figure 3 ), hgh dose for muscle building. The right and circumflex coronary arteries did not show alterations. Areas of scarring were located at the intersection between the posterior wall and the posterior third of the septum (postero-septal) ( Figure 2 ).
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