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Massive mobile thrombus in the left ventricle due to L?ffler endocarditis complicated with dilated cardiomyopathy

机译:由于L?FFLES心肌病如扩张的心肌病,左心室的大规模移动血栓

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摘要

A 26-year-old man was transferred to the emergency department of the National Cerebral Cardiovascular Center, Suita, Japan, due to acute decompensated heart failure with severely reduced left ventricular (LV) systolic function. His medical history was unremarkable. On admission, chest X-ray showed both moderate cardiomegaly and severe pulmonary congestion with bilateral moderate pleural effusion. Echocardiography indicated both LV dilatation (LV end-dia-stolic and end-systolic dimensions [LVDd and LVDs], 67 and 61mm, respectively) and severely reduced systolic function (ejection fraction [EF], 11%). There was an extremely massive mobile thrombus (25x55 mm) with several mural thrombi in the LV apex (Figure 1; Movie SI).
机译:一名26岁的男子被转移到日本国家脑心血管中心的急诊部门,由于急性失代偿的心力衰竭,严重减少左心室(LV)收缩功能。 他的病史不起眼。 在入院时,胸部X射线显示中度心血肿和严重的肺充血,具有双侧中度胸腔积液。 超声心动图表明了LV扩张(LV端部 - STOLIC和末端收缩尺寸[LVDD和LVDS],67和61mm)和严重降低的收缩功能(喷射级分[EF],11%)。 有一个极大的移动血栓(25x55 mm),在LV顶点中有几个壁画血栓(图1;电影Si)。

著录项

  • 来源
    《Circulation journal》 |2014年第8期|共3页
  • 作者单位

    Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan;

    Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan;

    Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan;

    Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan;

    Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan;

    Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan;

    Department of Pathology National Cerebral Cardiovascular Center Suita Japan;

    Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan;

    Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 心脏、血管(循环系)疾病;
  • 关键词

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