Cicenia Marianna, Fedele Francesco, Petronilli Valentina, De Carlo Carlotta, Moscucci Federica, Schina Mauro, Sciomer Susanna
Department of Cardiovascular, Respiratory, Nephrology, Anesthesiology and Geriatric Sciences, "Sapienza" University of Rome, Rome, Italy.
University Heart Center, University Hospital Zurich, Zurich, Switzerland.
Echocardiography. 2017 Nov;34(11):1738-1739. doi: 10.1111/echo.13658. Epub 2017 Aug 25.
We reported an unusual case of left ventricular pouch, in a 72-year-old man who had an acute coronary syndrome treated with percutaneous revascularization. The echocardiogram showed a sort of pouch, delimited by epicardium and endocardium, confirmed by 3D echo. This finding appeared as an echo free area, with a really slight color flow inside. We consequently supposed it would be a dissecting hematoma, a rare complication of the ischemic disease, due to the rupture of the intramyocardial vessels among the spiral myocardial fibers. This would produce a hemorrhagic pouch contained by epicardial and endocardial layers, which could evolve into mural thrombi.
我们报告了一例不寻常的左心室憩室病例，患者为一名72岁男性，因急性冠状动脉综合征接受了经皮血管重建治疗。超声心动图显示一种由心外膜和心内膜界定的憩室，三维超声心动图证实了这一发现。这一发现表现为一个无回声区，内部仅有非常微弱的彩色血流。因此，我们推测这可能是一个夹层血肿，这是缺血性疾病的一种罕见并发症，是由于螺旋状心肌纤维间的心肌内血管破裂所致。这会产生一个由心外膜和心内膜层包裹的出血性憩室，可能会演变成壁血栓。
