Kharalambus Kh, Topov Ia, Todorova M
Vutr Boles. 1989;28(2):87-91.
A case of an 80 years old woman with II-degree obesity is presented. The patient showed no hemodynamic disturbances prior to her death despite bilateral cardiac overload causes by chronic pulmonary inflammatory processes and arterial hypertension. The rupture of the right ventricular cardiac wall with cardiac tamponade was due to the massive fatty infiltration of the cardiac wall and to the sharp increase of the hydrostatic pressure in the right ventricle in the course of pulmonary embolism.
本文报告一例80岁二度肥胖女性病例。尽管慢性肺部炎症和动脉高血压导致双侧心脏负荷过重,但患者在死亡前未出现血流动力学紊乱。右心室心肌壁破裂伴心脏压塞是由于心肌壁大量脂肪浸润以及肺栓塞过程中右心室静水压急剧升高所致。