同时发生动静脉血栓栓塞的罕见病因：急性病毒性心包心肌炎

Sossou Christoph, Ogundare Tobi, Chika-Nwosuh Ogechukwu, Sodha Amee, Nnaoma Christopher, McKinney Cynthia, Bustillo Jose

Internal Medicine Resident, Newark Beth Israel Medical Center, Newark, NJ, USA.

Teaching Attending Physician, Newark Beth Israel Medical Center, Newark, NJ, USA.

Case Rep Cardiol. 2019 Jan 8;2019:5361529. doi: 10.1155/2019/5361529. eCollection 2019.

Simultaneous arteriovenous embolism is extremely rare. Herein, we present a rare case of systemic arteriovenous emboli in a healthy 33-year-old male after an episode of acute viral perimyocarditis. The culprits are postulated to be viral-induced myocardial necrosis and resulting proinflammatory state in the setting of negative malignant, autoimmune, genetics, and chronic infectious conditions. The patient was successfully managed with guideline-directed medical therapy and safely discharged to a subacute rehabilitation facility.

同时发生的动静脉栓塞极为罕见。在此，我们报告一例罕见的系统性动静脉栓塞病例，患者为一名33岁健康男性，在发生急性病毒性心包心肌炎后出现此情况。推测病因是病毒诱导的心肌坏死以及在无恶性肿瘤、自身免疫、遗传和慢性感染性疾病的情况下产生的促炎状态。该患者通过遵循指南的药物治疗成功得到救治，并安全出院前往亚急性康复机构。