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心内肿块揭示一种罕见的心肌病。

Intracardiac mass revealing a rare form of cardiomyopathy.

机构信息

Department of Cardiology, University of Medicine and Pharmacy of Craiova, Craiova, Romania.

Department of Cardiology, University of Medicine and Pharmacy of Craiova, Craiova, Romania

出版信息

BMJ Case Rep. 2022 Apr 21;15(4):e249037. doi: 10.1136/bcr-2022-249037.

DOI:10.1136/bcr-2022-249037
PMID:35450876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9024200/
Abstract

We present the case of a woman with a 2-month history of exertional dyspnoea and fatigue in which echocardiography revealed a cavity-obliterating right ventricular mass. Further imaging evaluation using cardiac magnetic resonance showed a thrombotic mass as well as diffuse myocardial oedema and endomyocardial fibrosis (EMF) that involved both ventricles. In the absence of any other cause (including peripheral eosinophilia), the diagnosis of idiopathic EMF was established. This case highlights this uncommon disease in non-tropical areas.

摘要

我们报告了一例女性患者,其病史为 2 个月的劳力性呼吸困难和疲劳,超声心动图显示右心室腔阻塞性肿块。使用心脏磁共振进一步成像评估显示血栓性肿块以及弥漫性心肌水肿和心内膜心肌纤维化(EMF),累及两个心室。在没有其他任何原因(包括外周嗜酸性粒细胞增多)的情况下,诊断为特发性 EMF。该病例突出了非热带地区这种罕见疾病。

相似文献

1
Intracardiac mass revealing a rare form of cardiomyopathy.心内肿块揭示一种罕见的心肌病。
BMJ Case Rep. 2022 Apr 21;15(4):e249037. doi: 10.1136/bcr-2022-249037.
2
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Eur J Heart Fail. 2004 Oct;6(6):723-9. doi: 10.1016/j.ejheart.2003.11.009.
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本文引用的文献

1
Tropical Endomyocardial Fibrosis: Natural History, Challenges, and Perspectives.热带心性心肌纤维化:自然病史、挑战和展望。
Circulation. 2016 Jun 14;133(24):2503-15. doi: 10.1161/CIRCULATIONAHA.115.021178.
2
Cardiac magnetic resonance imaging of eosinophilic endomyocardial disease.嗜酸性粒细胞性心内膜疾病的心脏磁共振成像
Int J Cardiol. 2008 Jun 6;126(3):e50-2. doi: 10.1016/j.ijcard.2007.01.019. Epub 2007 Mar 30.
3
Pitfalls in diagnosis and clinical, echocardiographic, and hemodynamic findings in endomyocardial fibrosis: a 25-year experience.心内膜心肌纤维化的诊断陷阱以及临床、超声心动图和血流动力学表现:25年经验总结
Chest. 2005 Dec;128(6):3985-92. doi: 10.1378/chest.128.6.3985.
4
Determinants of survival in endomyocardial fibrosis.心内膜心肌纤维化的生存决定因素。
Circulation. 1989 Sep;80(3 Pt 1):I177-82.