Baratta Pasquale, Pasqualini Paola, Misuraca Leonardo, Minelli Stefano, Chiavarelli Mario, Severi Silva, Limbruno Ugo
Dipartimento di Malattie Cardiovascolari, Ospedale della Misericordia, Grosseto.
Dipartimento di Malattie Cardiovascolari, Azienda Ospedaliero-Universitaria Policlinico "S. Maria le Scotte", Siena.
G Ital Cardiol (Rome). 2017 Sep;18(9):664-667. doi: 10.1714/2741.27950.
Left ventricular thrombi usually occur in the setting of an acute myocardial infarction, left ventricular aneurysm, or dilated cardiomyopathy. In the absence of ventricular wall motion abnormalities, they are rare. We report the case of a patient with ulcerative colitis in whom two-dimensional echocardiography revealed a left intraventricular mass. Thrombosis in ulcerative colitis is a serious condition and can occur in a very young population. This case report also shows that left ventricular thrombi can occur in the active setting of ulcerative colitis.
左心室血栓通常发生在急性心肌梗死、左心室室壁瘤或扩张型心肌病的情况下。在没有心室壁运动异常的情况下,它们很少见。我们报告一例溃疡性结肠炎患者,二维超声心动图显示左心室内有一肿块。溃疡性结肠炎中的血栓形成是一种严重情况,可发生于非常年轻的人群。本病例报告还表明,左心室血栓可发生在溃疡性结肠炎的活动期。