Tostes Júnior S, Lopes E R, Chapadeiro E
Patologia Humana, Faculdade de Medicina do Triângulo Mineiro, Uberaba, MG.
Rev Soc Bras Med Trop. 1990 Oct-Dec;23(4):225-8. doi: 10.1590/s0037-86821990000400008.
We report a case of sudden death from hemopericardium consequent to spontaneous rupture of the right ventricle in a 49-year-old chronic chagasic woman. To our knowledge, this is the third reported case of spontaneous cardiac rupture with chagasic cardiomyopathy. In our case we believe that the thinning of the anterior right ventricular wall, its large ray curvature and the increased ventricular pressure were factors favoring the rupture. There was no infarction and the chronic cardiopathy was significant. It caused the thinning of the rupture region through chronic myocarditis.
我们报告一例49岁慢性恰加斯病女性因右心室自发性破裂导致心包积血而猝死的病例。据我们所知，这是第三例报告的恰加斯病性心肌病伴自发性心脏破裂的病例。在我们的病例中，我们认为右心室前壁变薄、其大的弧度曲率以及心室压力增加是促使破裂的因素。没有梗死，慢性心脏病很严重。它通过慢性心肌炎导致破裂区域变薄。
