Kurisu Satoshi, Inoue Ichiro, Kawagoe Takuji, Ishihara Masaharu, Shimatani Yuji, Hata Takaki, Nakama Yasuharu, Kijima Yasufumi, Kagawa Eisuke
Department of Cardiology, Hiroshima City Hospital, Hiroshima.
Intern Med. 2006;45(7):457-60. doi: 10.2169/internalmedicine.45.1536. Epub 2006 May 1.
A 65-year-old woman was admitted to our hospital due to palpitation. Electrocardiogram (ECG) showed ventricular tachycardia originating from the right ventricle, and transthoracic echocardiography revealed dilatations of the right atrium and ventricle. The diagnosis of arrhythmogenic right ventricular cardiomyopathy was made. Eleven months later, echocardiography revealed a solid thrombus (36x32 mm) attached to the free wall of the right atrium, and it was surgically resected. Four months after the operation, a solid thrombus (48x30 mm) appeared again at the same site despite anticoagulant treatment. The patient died of both left and right heart failure 33 months after the operation.
一名65岁女性因心悸入院。心电图（ECG）显示室性心动过速起源于右心室，经胸超声心动图显示右心房和右心室扩张。诊断为致心律失常性右心室心肌病。11个月后，超声心动图显示一个附着于右心房游离壁的实性血栓（36×32mm），遂进行手术切除。术后4个月，尽管进行了抗凝治疗，同一部位再次出现一个实性血栓（48×30mm）。患者术后33个月死于左右心力衰竭。
