Aiello V D, Mansur A J, Favaratto D
Serviço de Patologia, Instituto do Coração do Hospital das Clínicas FMUSP, São Paulo, Brazil.
Int J Cardiol. 1996 Apr 19;54(1):73-5. doi: 10.1016/0167-5273(96)02559-4.
The pathogenesis of mitral regurgitation in dilated cardiomyopathy is ascribed to several mechanisms. The authors describe the case of an adult male with idiopathic dilated cardiomyopathy who developed myocardial infarction in the absence of coronary atherosclerosis and died from acute lung edema following rupture of a papillary muscle of the left ventricle. The possibility of coronary embolism could not be ruled out.
扩张型心肌病中二尖瓣反流的发病机制归因于多种机制。作者描述了一例成年男性特发性扩张型心肌病患者,该患者在无冠状动脉粥样硬化的情况下发生心肌梗死,并因左心室乳头肌破裂后急性肺水肿死亡。不能排除冠状动脉栓塞的可能性。