微血管血栓形成是 COVID-19 导致暴发性心肌炎样表现的原因，这一点通过心内膜心肌活检得到证实。
Microthrombosis as a cause of fulminant myocarditis-like presentation with COVID-19 proven by endomyocardial biopsy.
机构信息
Department of Cardiology, Saiseikai Senri Hospital, Suita, Osaka, Japan.
Department of Pathology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
出版信息
Cardiovasc Pathol. 2022 Sep-Oct;60:107435. doi: 10.1016/j.carpath.2022.107435. Epub 2022 May 16.
Myocardial injury has been reported as a complication of COVID-19. Although several mechanisms have been proposed as its cause, they are mostly based on autopsy studies, We report a 49-year-old male with COVID-19-associated myocardial injury presented like fulminant myocarditis. We performed endomyocardial biopsy on day 2 and we confirmed the presence of microthrombosis histologically. He died on day 5 due to cardiogenic shock.
据报道，心肌损伤是 COVID-19 的一种并发症。尽管已经提出了几种导致心肌损伤的机制，但这些机制大多基于尸检研究。我们报告了一例 49 岁男性 COVID-19 相关心肌损伤，其表现类似于暴发性心肌炎。我们在第 2 天行心内膜心肌活检，组织学上证实存在微血栓。由于心源性休克，他于第 5 天死亡。
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