Sousa Carla, Almeida Pedro, Gonçalves Alexandra, Rodrigues João, Rangel Inês, Macedo Filipe, Maciel M Júlia
Cardiology Department. Centro Hospitalar S. João. Porto. Portugal.
Acta Med Port. 2014 May-Jun;27(3):390-3. doi: 10.20344/amp.4737. Epub 2014 Jun 30.
Right ventricular thrombosis is a rare yet potentially fatal condition. It has been described in association with hypercoagulability states, autoimmune diseases and dilated cardiomyopathy. Echocardiography constitutes the election tool for diagnosis and characterization of these entities, allowing for the differentiation between the various types of thrombi. We present a case of a patient with alcoholic dilated cardiomyopathy admitted for congestive heart failure and lower respiratory infection. In the diagnostic approach, a routine echocardiography revealed a large mural right ventricular thrombus in association with severe biventricular dysfunction. The patient was proposed for anticoagulation strategy, which he refused.
右心室血栓形成是一种罕见但可能致命的疾病。它已被描述与高凝状态、自身免疫性疾病和扩张型心肌病相关。超声心动图是诊断和表征这些疾病的首选工具，能够区分不同类型的血栓。我们报告一例因充血性心力衰竭和下呼吸道感染入院的酒精性扩张型心肌病患者。在诊断过程中，常规超声心动图显示右心室有一个大的壁血栓，伴有严重的双心室功能障碍。患者被建议采取抗凝策略，但他拒绝了。
