超声心动图诊断心肌梗死后室间隔夹层伴可移动血栓。

IF 1.4 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques Pub Date : 2025-09-18 DOI:10.1111/echo.70301

Yating Liu, Jiayu Zhao, Fang Zhang

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引用次数: 0

摘要

59岁男性，急性栓塞性中风。随后的检查显示为急性st段前抬高型心肌梗死。超声心动图显示中隔至根尖处有一个大的（82 × 32 mm）夹层腔，包含一个可移动的血栓，该血栓通过2毫米心内膜撕裂与左心室腔相通。尽管进行了保守治疗，患者还是发生了心源性猝死（SCD）。

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Echocardiographic Diagnosis of Post-Myocardial Infarction Interventricular Septal Dissection With Mobile Thrombus

A 59-year-old male presented with an acute embolic stroke. Subsequent workup revealed an acute anterior ST-elevation MI. Echocardiography demonstrated a large (82 × 32 mm) dissection cavity in the mid-to-apical septum, containing a mobile thrombus, which communicated with the left ventricular cavity through a 2-mm endocardial tear. Despite conservative management, the patient experienced sudden cardiac death (SCD).

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来源期刊

Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques 医学-心血管系统

CiteScore

2.40

自引率

6.70%

发文量

211

审稿时长

3-6 weeks

期刊介绍： Echocardiography: A Journal of Cardiovascular Ultrasound and Allied Techniques is the official publication of the International Society of Cardiovascular Ultrasound. Widely recognized for its comprehensive peer-reviewed articles, case studies, original research, and reviews by international authors. Echocardiography keeps its readership of echocardiographers, ultrasound specialists, and cardiologists well informed of the latest developments in the field.