Late onset dilated cardiomyopathy in a unique familial syndrome of hypogonadism and metabolic abnormalities.
Late onset dilated cardiomyopathy in a unique familial syndrome of hypogonadism and metabolic abnormalities.
复制标题
迟发性扩张型心肌病是一种独特的性腺功能减退和代谢异常家族综合征。
DOI：
10.1016/0002-8703(87)90561-8
复制
发表时间：
1987
影响因子：
4.8
通讯作者：
Baim,DS
中科院分区：
文献类型：
--
作者：
Warren,SE;Schnitt,SJ;Bauman,AJ;Gianelly,RE;Landsberg,L;Baim,DS
图二.心尖四腔二维超声心动图。右心房和右心室内有血栓栓塞（箭头）。右心房扩张。LV=左心室; RA=右心房; RV=右心室。Loscalzog在他的“反常栓塞”一书中，将心内缺损处的静脉血栓描述为“即将出现的反常栓塞”。”g他建议，在超声心动图上发现即将出现反常栓塞的罕见情况下，可以结合下腔静脉中断进行心内取栓术。这个病例说明了二维超声心动图和对比超声心动图在评估疑似或有记录的肺栓塞或反常栓塞患者中的应用。以前的病例报告记录了单独使用抗凝剂和溶栓剂治疗右心血栓栓塞时的复发性肺栓塞和死亡。因此，应考虑右心血栓栓塞的手术方法。
Fig. 2. Two-dimensional echocardiogram of the apical four-chamber view. There are thromboemboli (arrows) in the right atrium and right ventricle. The right atrium is dilated. LV= left venticle; RA= right atrium; RV= right ventricle. paradoxical embolism, Loscalzog described the presence of venous thrombus trapped in an intracardiac defect as an “impending paradoxical embolus.“g He recommended that in the rare instances in which an impending paradoxical embolus is noted on echocardiography, intracardiac embolectomy may be undertaken in conjunction with inferior vena caval interruption. This case illustrates the utility of two-dimensional and contrast echocardiography in the evaluation of patients with suspected or documented pulmonary or paradoxical emboli. Previous case reports have documented recurrent pulmonary emboli and fatalities when treating right heart thromboemboli solely with anticoagulants and thrombolytics. Thus, a surgical approach for right heart thromboembolism should be considered.