Wu D J, Fujiwara H, Kawai C
Department of Internal Medicine, Chung-Shan Medical and Dental College Hospital, Taichung, Taiwan, R.O.C.
J Formos Med Assoc. 1993 Jul;92(7):654-7.
A 34-year-old female with rhythm disturbance and characteristic hemodynamic features of constrictive pericarditis is presented. A left ventricular wall open needle biopsy revealed mild mononuclear cell infiltration suggestive of myocarditis. The patient died of intractable heart failure seven years later. The autopsy revealed left and right ventricular dilatation, multiple foci of mononuclear cell infiltration, and diffuse replacement fibrosis in 31%, 13% and 14% of the areas of the left ventricular free wall, ventricular septum, and right ventricular wall, respectively, predominantly in the inner layers (68%). The pericardium was intact. These clinically constrictive pericarditis-like findings are considered to be secondary to chronic active myocarditis.
本文报告了一名34岁女性，其患有节律紊乱，并具有缩窄性心包炎的典型血流动力学特征。左心室壁开放性针吸活检显示有轻度单核细胞浸润，提示心肌炎。患者七年后死于顽固性心力衰竭。尸检发现左、右心室扩张，单核细胞浸润的多个病灶，左心室游离壁、室间隔和右心室壁区域分别有31%、13%和14%的区域出现弥漫性替代性纤维化，主要位于内层（68%）。心包完整。这些类似临床缩窄性心包炎的表现被认为是慢性活动性心肌炎的继发结果。
