Slama M A, Ollivier J P, Quatre J M, Brion R, de Bourayne J, Gandjbakhch I, Droniou J
Hôpital militaire du Val-de-Grâce, service de cardiologie.
Arch Mal Coeur Vaiss. 1987 Dec;80(13):1921-5.
An exceptional case of triple intracardiac thrombosis (right atrium and right and left ventricles) is reported. The 21-year old male patient without significant previous history was admitted in a state of acute circulatory failure, with blood pressure 80/45 mmHg and a left ventricular end-diastolic diameter of 74 mm. Echocardiography showed dilated cardiomyopathy with low output pattern and demonstrated the presence of three large intracavitary thrombi: the first one was attached to the lateral wall of the right ventricle and occupied most of the apex; the second one, with multiple lobes, was located in the left ventricle, and the third thrombus was appended to the roof of the right atrium. The severity of the patient's condition made it necessary to implant an artificial heart (Jarvik's heart), and this was followed, 15 days later, by cardiac transplantation. Pathological examination of the explanted heart confirmed the presence of the three thrombi and of a cardiomyopathy of undetermined origin. This is first case of this type published so far.
报告了一例罕见的心脏内三处血栓形成（右心房、右心室和左心室）的病例。该21岁男性患者既往无重大病史，因急性循环衰竭入院，血压为80/45 mmHg，左心室舒张末期直径为74 mm。超声心动图显示扩张型心肌病伴低心排血量模式，并显示存在三个大的心腔内血栓：第一个附着于右心室侧壁，占据大部分心尖；第二个有多个叶，位于左心室，第三个血栓附着于右心房顶部。患者病情严重，有必要植入人工心脏（贾维克心脏），15天后进行了心脏移植。对切除心脏的病理检查证实存在这三处血栓以及病因不明的心肌病。这是迄今为止发表的此类首例病例。
