Brown Samuel M, Miller Dylan V, Vezina Daniel, Dean Nathan C, Grissom Colin K
Division of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Salt Lake City, UT, USA; Critical Care Echocardiography Service, Intermountain Medical Center, Salt Lake City, UT, USA; Division of Pulmonary and Critical Care Medicine, University of Utah, Salt Lake City, UT, USA.
Crit Ultrasound J. 2011 Apr;3(1):29-31. doi: 10.1007/s13089-011-0059-2.
This case report describes a woman presenting after out-of-hospital cardiac arrest with several cardiac anomalies, including a form fruste of Ebstein's anomaly complicated by a large tricuspid valve vegetation. On autopsy, she proved to have unstable plaques in epicardial vessels that likely caused arrhythmic sudden cardiac death, a reminder that even in the presence of rare anomalies, common things are common.
本病例报告描述了一名院外心脏骤停后出现多种心脏异常的女性,包括埃布斯坦畸形的不完全型,并伴有巨大的三尖瓣赘生物。尸检发现,她的心外膜血管中有不稳定斑块,这可能导致了心律失常性心源性猝死,这提醒我们,即使存在罕见的异常情况,常见的病因也很常见。