Abstract:

Gigantic cell myocarditis is a disease that is often very suddenly developing, deadly, characterized by multi-nuclear giant cells, lymphohistic infiltration and myocytic necrosis. It can usually be diagnosed with autopsy. A 35-year-old woman died suddenly while playing tennis. The autopsy of the heart is 315 gr. was discussed. The left ventricular wall thickness is 1.4 cm, the right ventricular wall thickness is 0.1-0.3 cm. In both ventricles, a noticeable irregularity in the papillary muscles, a fibrotic appearance and anevrism in the left ventricle in a diameter of 4 cm were observed. Both ventricular myocard cuts were also observed in the white-colored common fibrosis areas in the dark-colored substrate areas. In the microscopic study of myocard cuts, the joint tissue that replaced muscle fibers in wide areas, intense lymphoplasmosite inflammatory cell infiltration, multinuclear giant cells, and fluid eosinofil polymorphs were observed. There were no microscopic findings in other internal organs except hyperemia. The phenomenon accompanied by these findings was regarded as idiopathic giant cell myocarditis.As a result, the giant cell myocarditis phenomenon, which is quite rarely in literature, is presented as an antidepressant that needs to be distinguishing in sudden death phenomena.

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