Hatanaka Noriyuki, Ueda Takashi
Department of Cardiovascular Surgery, Sapporo Higashi Tokushukai Hospital, Sapporo, Japan.
Kyobu Geka. 2014 Sep;67(10):895-8.
We report a rare case of a 49-year-old man with biventricular thrombi associated with idiopathic dilated cardiomyopathy (DCM). The patient was admitted with congestive heart failure and pneumonia. Echocardiography revealed mobile "ball-like" biventricular thrombi associated with significantly impaired left ventricular function and severe mitral/tricuspid valve regurgitation. The biventricular thrombi were removed and subsequently, a mitral annuloplasty, as well as papillary muscle approximation and tricuspid annuloplasty were performed. The postoperative course has been uneventful over a period of 2 years and neither thromboembolic events nor recurrence of congestive heart failure has been observed.
我们报告了一例罕见的49岁男性病例，其患有与特发性扩张型心肌病（DCM）相关的双心室血栓。该患者因充血性心力衰竭和肺炎入院。超声心动图显示有活动的“球状”双心室血栓，伴有左心室功能严重受损以及严重的二尖瓣/三尖瓣反流。双心室血栓被清除，随后进行了二尖瓣环成形术、乳头肌靠拢术和三尖瓣环成形术。术后2年病情平稳，未观察到血栓栓塞事件或充血性心力衰竭复发。
