Department of Cardiology, University of Medicine and Pharmacy of Craiova, Craiova, Romania.
Department of Cardiology, University of Medicine and Pharmacy of Craiova, Craiova, Romania
BMJ Case Rep. 2022 Apr 21;15(4):e249037. doi: 10.1136/bcr-2022-249037.
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.
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。