Izumoto Shintaro, Oguri Nobuyuki, Koyama Shohei, Matsuura Yunosuke, Komatsu Hiroyuki, Asada Yujiro, Iwakiri Hironao
Department of Cardiovascular Medicine, Miyakonojo Medical Association Hospital, Miyakonojo, Miyazaki, Japan.
Center for Post-Graduation Clinical Training, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
JACC Case Rep. 2021 Oct 20;3(14):1635-1638. doi: 10.1016/j.jaccas.2021.07.029.
A 79-year-old man with chest pain and dyspnea underwent emergency percutaneous coronary intervention for acute myocardial infarction. However, he died 17 days later due to refractory heart failure. An autopsy revealed cardiac strangulation caused by herniation of the apical heart through a pericardial defect due to partial absence of the pericardium. ().
一名79岁男性因胸痛和呼吸困难接受了急性心肌梗死的急诊经皮冠状动脉介入治疗。然而，他在17天后因顽固性心力衰竭死亡。尸检显示，由于心包部分缺失，心尖通过心包缺损疝出导致心脏受压。（）
