Histopathological Analysis of Myocardial Remodeling Following Heart Failure: A Cadaveric Case Report

Cardiovascular disease and aging are key contributors to myocardial remodeling, often leading to fibrosis, cellular hypertrophy, and impaired cardiac function. Understanding these structural changes is essential for explaining the pathophysiology of heart failure. This study examined histopathological changes in myocardial tissue from a post-mortem cadaver with heart failure. Two age-matched cadavers without cardiac disease were used as controls. Ventricular tissue samples were thin-sectioned and stained for collagen deposition and cellular morphology using Masson's Trichrome and Cresyl Violet dyes. Histopathological findings showed the presence of increased collagen deposition and fibrosis in the myocardial tissue with heart failure, consistent with a stiffened myocardium. Additionally, Cresyl Violet staining showed cardiomyocyte hypertrophy compared to control samples, suggesting cellular remodeling, which is well characterized following heart failure. These findings provide further histological evidence of myocardial remodeling in heart failure, characterized by fibrosis and cardiomyocyte hypertrophy. Further quantitative analysis is needed to deepen our understanding of these pathological changes and their implications for cardiac function.

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Journal
Cureus
Published
2025-07-14
DOI
https://doi.org/10.7759/cureus.87889
Primary Topic
Cardiac Structural Anomalies and Repair
Type
article
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article

Histopathological Analysis of Myocardial Remodeling Following Heart Failure: A Cadaveric Case Report

Jeung Woon Lee, Anthony DeSomma
Cureus
Cardiac Structural Anomalies and Repair
article

Histopathological Analysis of Myocardial Remodeling Following Heart Failure: A Cadaveric Case Report

Jeung Woon Lee, Anthony DeSomma
article en

Abstract

Cardiovascular disease and aging are key contributors to myocardial remodeling, often leading to fibrosis, cellular hypertrophy, and impaired cardiac function. Understanding these structural changes is essential for explaining the pathophysiology of heart failure. This study examined histopathological changes in myocardial tissue from a post-mortem cadaver with heart failure. Two age-matched cadavers without cardiac disease were used as controls. Ventricular tissue samples were thin-sectioned and stained for collagen deposition and cellular morphology using Masson's Trichrome and Cresyl Violet dyes. Histopathological findings showed the presence of increased collagen deposition and fibrosis in the myocardial tissue with heart failure, consistent with a stiffened myocardium. Additionally, Cresyl Violet staining showed cardiomyocyte hypertrophy compared to control samples, suggesting cellular remodeling, which is well characterized following heart failure. These findings provide further histological evidence of myocardial remodeling in heart failure, characterized by fibrosis and cardiomyocyte hypertrophy. Further quantitative analysis is needed to deepen our understanding of these pathological changes and their implications for cardiac function.

CureusVol. 17(7)
Lake Erie College of Osteopathic Medicine (US)
Good health and well-being
Openalex Percentile: Top 71%
Cardiac Structural Anomalies and Repair
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Histopathological Analysis of Myocardial Remodeling Following Heart Failure: A Cadaveric Case Report — Jeung Woon Lee, Anthony DeSomma · Cureus (2025) | TGRS Research Map | TGRS