St Vincent Hospitals and Health Services, Indianapolis, Indiana, USA.
J Am Soc Echocardiogr. 2009 Dec;22(12):1420.e1-3. doi: 10.1016/j.echo.2009.06.010. Epub 2009 Jul 31.
A 19-year-old African American man presented to a local emergency room with atrial flutter, dysarthria, and left-sided hemiparesis. He was previously healthy and a successful high school athlete. The patient decompensated and went into cardiac arrest. Two-dimensional echocardiography revealed biventricular dilation, severe systolic dysfunction, and a spongy myocardial appearance. Postmortem examination was diagnostic of biventricular noncompaction. Such a fulminant presentation of isolated ventricular noncompaction in a previously healthy and physically fit individual has not yet been described.
一位 19 岁的非裔美国男性因心房扑动、构音障碍和左侧偏瘫到当地急诊室就诊。他既往健康,是一名成功的高中生运动员。患者失代偿并发生心脏骤停。二维超声心动图显示双心室扩张、严重收缩功能障碍和海绵状心肌外观。尸检诊断为双心室致密化不全。在既往健康和身体状况良好的个体中,尚未描述如此暴发性表现的孤立性心室致密化不全。