INFARCTION
BY
DR. YASIR SHABBIR
PATHOLOGY DEPARTMENT
Area of Ischemic Necrosis
Pulmonary
Bowel
Extremities Gangrene DM
INFARCTION
• Vasospasm
• Haemhrrage
• Tumor
• Edema ANT. Compartment Syndrome
• Venous Thrombosis Testies + Ovaries
CAUSES
Red Infarct
• Venous Occulsion
• Lung Intestine
• Spongy Tissue
• Dual Circulation
• Flow Reestablished at previous arterial occulsion
MORPHOLOGY
MORPHOLOGY
• Red Infarct • White Infarct
WHITE INFARCT
• Arterial occlusion
• Solid Organs Heart, Spleen, Kidney
• Wedge Shape
• Paller, Necrotic Cells
• Macrophages Hemosidern + Residum
• 4-12 Hours
• Acute Inlamation
• Stable or Liable Tissues Parynchymal Regeration
ISCHEMIC COAGULATIVE NECROSIS
FACTOR OF INFARCT
• Development
• Anatomy of Vascular Supply
• Rate of Occlusion
• Tissue Vulnerability to hypoxia
• Dual Supply Liver Lung
• Single Supply Heart Spleen
ANATOMY OF
VASCULAR SUPPLY
RATE OF OCCLUSION
• Slow
• Rapid
TISSUE VULNERABILITY TO HYPOXIA
• Neurons 3-4 Min
• Myocardial Cells 20-30 Min 4-12 Hr
• Fibroblast Many Hr
Infarction

Infarction