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116 Chapter 6 Figure 4. Example of chronic myocardial infarction Legend: 66-year old man with a medical history of ischemic heart disease, who died after a period of dyspnea and anemia. MRI STIR FSE T2w MRI (A) axial and (B) short axis showing septal mid and apical wall thinning of the left ventricle with hyperintense T2 signal (black arrows), indicative of a chronic infarction with subacute infarction overlying. (C) and (D) mid ventricular slice stained with LDH, showing discolouration of the corresponding areas of the myocardium (white arrows) indicative of acute infarction. (E) and (F) HE staining of CT-guided biopsy taken from the suspected area in the interventricular septum showing uninflamed replacement fibrosis with viable adjacent myocardium (asterisk).