“气泡心”：多模态成像呈现的不寻常自然病史——病例报告
'The bubble heart': an unusual natural history told by multimodality imaging- a case report.
作者信息
Locorotondo Gabriella, Fedele Elisa, Napolitano Carmela, Galiuto Leonarda
机构信息
Department of Cardiovascular Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo A.Gemelli 8, Rome 00168, Italy.
Department of Radiology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Catholic University of the Sacred Heart, Largo A.Gemelli 8, Rome 00168, Italy.
出版信息
Eur Heart J Case Rep. 2020 Dec 26;5(2):ytaa533. doi: 10.1093/ehjcr/ytaa533. eCollection 2021 Feb.
BACKGROUND
Intracardiac thrombosis is a relatively common pathological condition. Often, it is diagnosed at echocardiography during the subacute or chronic phase. In the very acute phase, tissue composition can make thrombus appearance very different from that usually seen. Fresh thrombosis has been previously found also in peripartum cardiomyopathy (PPC), but with imaging features different from our case.
CASE SUMMARY
A 27-year-old woman was referred to our hospital for PPC, with echocardiographic finding of intraventricular masses, resembling big bubbles. Cardiac magnetic resonance (CMR) allowed definitively diagnosing intracardiac 'very acute' thrombosis, which is rarely detected.
DISCUSSION
Our case provides a practical lesson about management of an unusual presentation of a common problem. When early echocardiography does not allow making a certain diagnosis, CMR can be helpful and decisive, due to its unique ability to provide characterization of intracardiac masses.
背景
心内血栓形成是一种相对常见的病理状况。通常，它是在亚急性期或慢性期经超声心动图诊断出来的。在极急性期，组织构成会使血栓的表现与通常所见大不相同。此前在围产期心肌病（PPC）中也发现过新鲜血栓形成，但成像特征与我们的病例不同。
病例摘要
一名27岁女性因围产期心肌病被转诊至我院，超声心动图检查发现心室内有肿物，类似大气泡。心脏磁共振成像（CMR）最终确诊为心内“极急性”血栓形成，这种情况很少被检测到。
讨论
我们的病例为一个常见问题的不寻常表现的处理提供了实用经验。当早期超声心动图无法做出明确诊断时，由于心脏磁共振成像具有独特的能够对心内肿物进行特征描述的能力，它可能会有所帮助且具有决定性作用。
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