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心脏磁共振成像用于确定分层左心室心尖血栓的罕见病因。

Cardiac Magnetic Resonance Imaging Used to Determine a Rare Etiology of a Layered Left Ventricular Apical Thrombus.

作者信息

Turbay-Caballero Valentina, Morris Rachel, Hussain Sheraz, Singh Suyashi, Paredes-Flores Manuel, Memon Shermeen, Naqvi Amir

机构信息

Internal Medicine, Advocate Christ Medical Center, Oak Lawn, USA.

Cardiology, Advocate Christ Medical Center, Oak Lawn, USA.

出版信息

Cureus. 2024 Mar 30;16(3):e57257. doi: 10.7759/cureus.57257. eCollection 2024 Mar.

Abstract

Eosinophilic myocarditis (EM) is a rare disease, often associated with hypereosinophilic syndrome (HES). Historically, the diagnostic gold standard was endomyocardial biopsy (EMB). We present a unique case of a 58-year-old female who presents after a syncopal episode and was found to have a layered left ventricular (LV) thrombus. Using laboratory studies and cardiac magnetic resonance imaging (MRI), we were able to delineate the etiology, avoiding any invasive testing.

摘要

嗜酸性粒细胞性心肌炎(EM)是一种罕见疾病,常与高嗜酸性粒细胞综合征(HES)相关。从历史上看,诊断金标准是心内膜心肌活检(EMB)。我们报告了一例独特病例,一名58岁女性在晕厥发作后就诊,发现有分层的左心室(LV)血栓。通过实验室检查和心脏磁共振成像(MRI),我们得以明确病因,避免了任何侵入性检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86d8/11057394/a22146b57737/cureus-0016-00000057257-i01.jpg

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