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According to the wavefront-phenomenon myocardial infarction scar should have a larger extent on the subendocardial than the subepicardial surface. This is important for differentiating ischemic from nonischemic lesions in late gadolinium enhancement (LGE) images.  In hypertrophic obstructive cardiomyopathy septal ablation (TASH) with injection of microparticles instead of ethanol represents a controlled model of iatrogenic embolic infarction.  We compared cardiac magnetic resonance (CMR) scar patterns after microparticle-induced TASH with those after clinical embolic infarctions from other sources.

Embolic myocardial infarctions look different: a comparison of experimental and fateful embolic lesions