HEART – Pericarditis (long-standing)

The heart is small, possibly that of a child. The pericardium is markedly thickened and the atrio-ventricular sulcus largely obliterated. While in a few areas there are fine strands of fibrin, in other parts the strands are thicker and in some areas the surface is quite smooth. The appearances point to a pericarditis of long standing. This is supported by the histological appearances which show organising granulation tissue with fibrin on the surface and a patchy chronic inflammatory infiltrate in the underlying fat.