心内膜心肌纤维化

Endomyocardial fibrosis.

作者信息

Vermeulen Tom, Conraads Viviane M, Vrints Christiaan J, Paelinck Bernard P

机构信息

Department of Cardiology, Antwerp University Hospital, Belgium.

出版信息

Acta Cardiol. 2011 Jun;66(3):375-7. doi: 10.2143/AC.66.3.2114140.

DOI:10.2143/AC.66.3.2114140

PMID:21744710

Abstract

We report the case of a 51-year-old man of central African origin. Medical evaluation revealed severe heart failure. Echocardiography disclosed poor left ventricular function. The apex of the left ventricle showed complete obliteration and retraction. Magnetic resonance imaging revealed subendocardial hyperenhancement of the apex of the left and right ventricle, strongly suggesting endomyocardial fibrosis. For this particular patient a conservative approach (non-surgical) was decided on, and until now--12 months after termination of cardiac rehabilitation--proves successful.

摘要

我们报告了一例51岁的来自中非的男性病例。医学评估显示严重心力衰竭。超声心动图显示左心室功能不佳。左心室心尖部显示完全闭塞和回缩。磁共振成像显示左、右心室心尖部心内膜下强化，强烈提示心内膜心肌纤维化。对于该特定患者，决定采取保守治疗方法（非手术），到目前为止——心脏康复结束12个月后——证明是成功的。