JAMES R. LISA, M.D., F.A.C.P.; CHESTER R. BROWN, M.D.
Arteriolar disease of the heart is relatively rare. In a large autopsy service it is occasionally found with the more severe grades of coronary arteriosclerosis. Plaut and Kramer1 have reported a case of hyaline degeneration with extensive myomalacia and relatively intact coronary arteries. This report deals with a case of severe cardiac failure and complete heart block, with widespread medial hypertrophy of the arterioles of the heart, minimal changes of the larger coronary arteries, a diffuse thickening of the parietal endocardium, intact valves and microscopic necroses of the myocardial fibers.
The patient was a white man, 41 years
LISA JR, BROWN CR. ARTERIOLAR DISEASE OF THE HEART1. Ann Intern Med. 1941;14:2147–2156. doi: 10.7326/0003-4819-14-11-2147
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Published: Ann Intern Med. 1941;14(11):2147-2156.
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