Weickert U, Doerr T, Venzke T, Berg G, Remberger K
Pathologisches Institut der Universitätskliniken des Saarlandes, Homburg/Saar.
Pathologe. 1997 Mar;18(2):167-71. doi: 10.1007/s002920050207.
Progressive dyspnoea developed in a 37-year-old woman over a period of 2 months. A chest x-ray and echocardiography revealed a massive dilatation of the heart with thrombi in both ventricles. The endomyocardial biopsy was classified as myocarditis in two different departments of pathology. The patient developed thromboembolic events and an untreatable heart failure which led to the patient's death. The necropsy revealed a dilated 600-gram-heart and thrombi in both ventricles. On histological and immunohistological examination of the heart, the original diagnosis was corrected to catecholamine-induced dilated cardiomyopathy.
一名37岁女性在2个月内逐渐出现呼吸困难。胸部X光和超声心动图显示心脏巨大扩张,双心室有血栓形成。在两个不同的病理科,心内膜心肌活检均被诊断为心肌炎。患者发生了血栓栓塞事件和无法治疗的心力衰竭,最终导致死亡。尸检发现心脏扩张,重600克,双心室有血栓。对心脏进行组织学和免疫组织学检查后,原诊断被修正为儿茶酚胺诱导的扩张型心肌病。