最近接种新冠肺炎的患者冠状动脉正常的左室后外侧动脉瘤的超声心动图演变:一例复杂非典型Takotsubo综合征疫苗相关病例?

IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Journal of Cardiovascular Echography Pub Date : 2022-07-01 Epub Date: 2022-11-16 DOI:10.4103/jcecho.jcecho_27_22
Fabrizio Ceresa, Antonio Micari, Maria Paola Trifirò, Francesco Costa, Giampiero Vizzari, Alessio Vite Giuseppe, Francesco Patanè
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引用次数: 1

摘要

一名72岁的女性最近接种了第三剂新冠肺炎疫苗,因急性胸痛和呼吸困难被转诊到我们的中心。入院时,心电图显示下衍生化STEMI,第一次经胸超声心动图发现下壁运动障碍。冠状动脉造影没有显示冠状动脉疾病。1周后,发现一个巨大的后外侧左心室(LV)动脉瘤,最初有破裂迹象,患者接受了Dor手术以排除LV动脉瘤。据我们所知,这是在需要心脏手术的新冠肺炎疫苗接种后首次报告的Takotsubo病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Echocardiographic Evolution of PosteroLateral Left Ventricular Aneurysm with Normal Coronary Arteries in Patient Recently COVID-19 Vaccinated: A Complicated Atypical Case of Takotsubo Syndrome Vaccine-related?

Echocardiographic Evolution of PosteroLateral Left Ventricular Aneurysm with Normal Coronary Arteries in Patient Recently COVID-19 Vaccinated: A Complicated Atypical Case of Takotsubo Syndrome Vaccine-related?

Echocardiographic Evolution of PosteroLateral Left Ventricular Aneurysm with Normal Coronary Arteries in Patient Recently COVID-19 Vaccinated: A Complicated Atypical Case of Takotsubo Syndrome Vaccine-related?

Echocardiographic Evolution of PosteroLateral Left Ventricular Aneurysm with Normal Coronary Arteries in Patient Recently COVID-19 Vaccinated: A Complicated Atypical Case of Takotsubo Syndrome Vaccine-related?

A 72-year-old woman, recently COVID-19 vaccinated with a third dose, was referred to our center for acute chest pain and dyspnea. On admission, the electrocardiography showed a STEMI on inferior derivations and the dyskinesia of the inferior wall was found at the first transthoracic echocardiogram. The coronary angiography did not show coronary artery disease. After 1 week, a huge posterolateral left ventricular (LV) aneurysm with initial signs of rupture was found and the patient underwent a Dor's procedure to exclude the LV aneurysm. As far as we know, this is the first reported case of Takotsubo following the COVID-19 vaccination requiring cardiac surgery.

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来源期刊
Journal of Cardiovascular Echography
Journal of Cardiovascular Echography CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
1.40
自引率
12.50%
发文量
27
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