Lim Joel Kian Boon, Lee Jan Hau, Mok Yee Hui, Chen Ching Kit, Loh Yee Jim
1 Department of Pediatrics, KK Women's and Children's Hospital, Singapore.
2 Children's Intensive Care Unit, Department of Pediatric Subspecialties, KK Women's and Children's Hospital, Singapore.
World J Pediatr Congenit Heart Surg. 2017 Jan;8(1):117-120. doi: 10.1177/2150135115623528. Epub 2016 Jun 22.
Intramyocardial hematoma is a rare condition and is an incomplete form of myocardial rupture, which may occur after myocardial infarction, cardiac surgery, trauma, percutaneous coronary intervention, or spontaneously. We describe a case of a 16-year-old girl with intramyocardial hematoma mimicking an intracavitary thrombus following repair of Ebstein anomaly. The intramyocardial hematoma was incorrectly diagnosed on echocardiography as a right ventricular thrombus, and the true nature of the lesion was only realized during repeat surgical intervention for severe tricuspid regurgitation. The hematoma was managed conservatively and spontaneously resolved.
心肌内血肿是一种罕见的病症，是心肌破裂的不完全形式，可能发生在心肌梗死、心脏手术后、创伤、经皮冠状动脉介入治疗后或自发出现。我们描述了一例16岁女孩的病例，该女孩在埃布斯坦畸形修复术后出现心肌内血肿，酷似心腔内血栓。心肌内血肿在超声心动图检查中被误诊为右心室血栓，直到因严重三尖瓣反流进行再次手术干预时才发现病变的真实性质。该血肿采取保守治疗并自行消退。
