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胎儿心肌致密化不全与海绵状心肌的组织学诊断:病例报告及文献复习

Fetal Noncompaction Cardiomyopathy and Histologic Diagnosis of Spongy Myocardium: Case Report and Review of the Literature.

作者信息

Nappi Luigi, Vasciaveo Lorenzo, Sorrentino Felice, Scutiero Gennaro, Iannone Piergiorgio, Greco Pantaleo

机构信息

Department of Medical and Surgical Sciences, Institute of Obstetrics and Gynecology, Università di Foggia, Foggia, Italy.

Section of Obstetrics and Gynecology, Department of Morphology, Surgery and Experimental Medicine, Università degli Studi di Ferrara, Ferrara, Italy.

出版信息

Rev Bras Ginecol Obstet. 2018 Nov;40(11):722-725. doi: 10.1055/s-0038-1673677. Epub 2018 Oct 11.

Abstract

Noncompaction cardiomyopathy (NCCM) and left ventricular noncompaction (LVNC), in their isolated form, are rare cardiomyopathies. They are characterized by a thickened myocardium due to the presence of deep trabeculae recesses, and to thick trabeculae. This condition is associated with a variable clinical phenotype including heart failure, thromboembolism, and sudden death. We report a case of LVNC at 26 weeks and 4 days of gestation revised on the basis of what is currently reported in the literature. A review of the literature was performed to better describe this rare condition. Left ventricular noncompaction is a rare fetal condition and it should be suspected in case of cardiomyopathy.

摘要

孤立性的致密化不全型心肌病(NCCM)和左心室心肌致密化不全(LVNC)是罕见的心肌病。它们的特征是由于存在深陷的小梁隐窝和粗大的小梁而导致心肌增厚。这种情况与包括心力衰竭、血栓栓塞和猝死在内的多种临床表型相关。我们报告了一例妊娠26周零4天时诊断为LVNC的病例,并根据目前文献报道进行了修正。为了更好地描述这种罕见疾病,我们进行了文献综述。左心室心肌致密化不全是一种罕见的胎儿疾病,在出现心肌病的情况下应怀疑此病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e29c/10309442/837951ee30ff/10-1055-s-0038-1673677-i0199-1.jpg

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