Iqbal Muhammad Danish, Rehman Samir, Hussain Wajid, Akhtar Parveen, Muhammad Aarij Khawaja, Bhatti Sabha
Department of Cardiac Imaging, National Institute of Cardiovascular Diseases, Karachi, Pakistan.
JACC Case Rep. 2024 Sep 4;29(17):102482. doi: 10.1016/j.jaccas.2024.102482.
This case describes an uncommon discovery of a left ventricular intramyocardial dissecting hematoma in a patient experiencing a ventricular tachycardia storm. Imaging modalities, including 2-dimensional and 3-dimensional echocardiography and cardiac magnetic resonance, assisted in diagnosing the intramyocardial dissecting hematoma. The patient underwent conservative treatment and received a single-chamber implantable cardioverter defibrillator.
本病例描述了一名经历室性心动过速风暴的患者罕见地发现左心室心肌内夹层血肿。包括二维和三维超声心动图以及心脏磁共振在内的影像学检查手段辅助诊断了心肌内夹层血肿。该患者接受了保守治疗并植入了单腔植入式心律转复除颤器。