近期接种新冠疫苗的冠状动脉正常的左心室后外侧壁室壁瘤患者的超声心动图演变：Takotsubo综合征疫苗相关的复杂非典型病例？

Echocardiographic Evolution of PosteroLateral Left Ventricular Aneurysm with Normal Coronary Arteries in Patient Recently COVID-19 Vaccinated: A Complicated Atypical Case of Takotsubo Syndrome Vaccine-related?

作者信息

Ceresa Fabrizio, Micari Antonio, Trifirò Maria Paola, Costa Francesco, Vizzari Giampiero, Giuseppe Alessio Vite, Patanè Francesco

机构信息

Department of Thoracic and Cardiovascular Surgery, Papardo Hospital, Messina, Italy.

Division of Cardiology, G. Martino University Hospital, Messina, Italy.

出版信息

J Cardiovasc Echogr. 2022 Jul-Sep;32(3):177-179. doi: 10.4103/jcecho.jcecho_27_22. Epub 2022 Nov 16.

DOI:10.4103/jcecho.jcecho_27_22

PMID:36619782

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9819606/

Abstract

A 72-year-old woman, recently COVID-19 vaccinated with a third dose, was referred to our center for acute chest pain and dyspnea. On admission, the electrocardiography showed a STEMI on inferior derivations and the dyskinesia of the inferior wall was found at the first transthoracic echocardiogram. The coronary angiography did not show coronary artery disease. After 1 week, a huge posterolateral left ventricular (LV) aneurysm with initial signs of rupture was found and the patient underwent a Dor's procedure to exclude the LV aneurysm. As far as we know, this is the first reported case of Takotsubo following the COVID-19 vaccination requiring cardiac surgery.

摘要

一名72岁女性，近期接种了第三剂新冠疫苗，因急性胸痛和呼吸困难被转诊至我院。入院时，心电图显示下壁导联ST段抬高型心肌梗死，首次经胸超声心动图发现下壁运动障碍。冠状动脉造影未显示冠状动脉疾病。1周后，发现巨大的左心室后外侧壁动脉瘤并有破裂迹象，患者接受了Dor手术以排除左心室动脉瘤。据我们所知，这是首例接种新冠疫苗后发生应激性心肌病且需要心脏手术的报道病例。