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Myocardial Infarct - Reperfusion Injury

On gross examination reperfusion injury can be subtle showing only small areas of hemorrhage as shwown in the trabecular myocardium in this heart with concentric hypertrophy.

Alternatively the reperfusion injury can lead to more extensive intersitial hemorrhages (in particular if thrombolytic agents are were used) as shown in the image below.

Microscopic examination of reperfusion injury shows interstitial hemorrhage.

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