Okayama Satoshi, Soeda Tsunenari, Seno Ayako, Watanabe Makoto, Nakajima Tamio, Uemura Shiro, Saito Yoshihiko
First department of internal medicine, Nara medical university, Nara, Japan.
Open Cardiovasc Med J. 2011;5:99-102. doi: 10.2174/1874192401105010099. Epub 2011 May 2.
A 78-year-old man with a history of pulmonary tuberculosis was referred for preoperative evaluation of cardiac function. Echocardiography and cardiac cine magnetic resonance imaging (MRI) indicated apical hypertrophic cardiomyopathy (HCM), a thickened visceral pericardium, and a large pericardial effusion. Cardiac late gadolinium-enhanced MRI revealed pericardial inflammation or fibrosis. Apical HCM with concurrent effusive constrictive pericarditis was diagnosed. Further studies are required to elucidate the pathophysiology of this condition.
一名有肺结核病史的78岁男性因心脏功能术前评估前来就诊。超声心动图和心脏电影磁共振成像（MRI）显示为心尖肥厚型心肌病（HCM）、增厚的脏层心包和大量心包积液。心脏钆增强延迟MRI显示心包炎症或纤维化。诊断为心尖HCM并发渗出性缩窄性心包炎。需要进一步研究以阐明这种情况的病理生理学。
