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CARDIOVASCULAR SYSTEM: The 540 g heart (upper limit of normal for body length is 510 g; upper limit of normal for body weight is 521 g)1 is contained in an intact pericardial sac. The epicardial surface is smooth, with modest fat investment. The coronary arteries are present in a normal distribution, with a right dominant pattern. Cross sections of the vessels show multifocal atherosclerosis, with 75% proximal and 75% mid narrowing of the left anterior descending coronary artery; 75% proximal narrowing of the 1st diagonal branch of the left anterior descending coronary artery; 25% proximal narrowing of the circumflex coronary artery; and 90% proximal narrowing of the right coronary artery. The myocardium is homogeneous, redbrown, and firm. The valve leaflets are thin and mobile. The walls of the left and right ventricles are 1.2 and 0.4 cm thick, respectively. The endocardium is smooth and glistening. Both ventricular cavities are mildly dilated. The minimally atherosclerotic aorta gives rise to three intact and patent arch vessels. The renal and mesenteric vessels are unremarkable.

https://www.hennepin.us/-/media/hennepinus/residents/public-safety/documents/Autopsy_2020-3700_Floyd.pdf

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