Tokuyasu K, Hara Y, Matsumoto Y, Hashida H, Ikeda S, Ohtsuka T, Hiasa G, Kitami Y, Shigematsu Y, Hamada M, Hiwada K
Second Department of Internal Medicine, Ehime University School of Medicine.
J Cardiol. 1999 Nov;34(5):273-7.
A 54-year-old woman had been treated for hypertrophic cardiomyopathy and paroxysmal atrial fibrillation since 1992. She was admitted with paroxysmal atrial fibrillation which was resolved by medical treatment. However, on the next day, left lateral chest pain appeared. Computed tomography disclosed a low density area in the spleen. She received anticoagulant therapy under a diagnosis of splenic infarction, and the pain disappeared. Echocardiography showed hypertrophic cardiomyopathy with mid-ventricular obstruction. She was treated with cibenzoline to prevent paroxysmal atrial fibrillation attack and attenuate the hemodynamic load. After treatment, the pressure gradient decreased from 41 to 7 mmHg. This patient with hypertrophic cardiomyopathy suffered a rare isolated splenic infarction associated with paroxysmal atrial fibrillation.
一名54岁女性自1992年起接受肥厚型心肌病和阵发性心房颤动的治疗。她因阵发性心房颤动入院，经药物治疗后病情缓解。然而，次日出现左侧胸痛。计算机断层扫描显示脾脏有低密度区。她在被诊断为脾梗死的情况下接受了抗凝治疗，疼痛消失。超声心动图显示肥厚型心肌病伴心室中部梗阻。她接受了西苯唑啉治疗，以预防阵发性心房颤动发作并减轻血流动力学负荷。治疗后，压力梯度从41 mmHg降至7 mmHg。该肥厚型心肌病患者发生了罕见的与阵发性心房颤动相关的孤立性脾梗死。
