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General and Systemic Histopathology, C601&C602
     
    Slide 119: Heart with fibroelastosis, trichrome stain
     
     
    Now with the aid of a trichrome stain, which highlights the collage (blue), you can appreciate the tremendous thickening of the endocardium.  It doesn't take much imagination to see how this would substantially reduce the pump's ability to to fill during diastole.  This is a good example of restrictive heart failure.

    See this slide with the virtual microscope.

    This is an uncommon disease; endocardial fibroelastosis. With this stain, you can see how markedly thickened the endocardium is. Note the extension of fibrous tissue into the superficial myocardium. You can see that collagen is principal constituent of this pathologically thickened and malfunctioning lining to the cardiac chambers. As you can guess, this alteration greatly restricts the ability of the heart to fill and pump effectively. 


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