An Autopsy Case of Fulminant Myocarditis with Massive Left Ventricular Calcification

被引：0

作者：

Yagi-Nakajima, Satsuki ^{[1
]}

Miura, Masanobu ^{[1
]}

Sawada, Shun ^{[1
]}

Funaki, Takahiro ^{[1
]}

Uchimura, Kumi ^{[1
]}

Susukita, Kai ^{[1
]}

Hatakeyama, Tsubasa ^{[1
]}

Kagaya, Yuta ^{[1
]}

Saito, Hiroki ^{[1
]}

Sato, Kenjiro ^{[1
]}

Kanazawa, Masanori ^{[1
]}

Kondo, Masateru ^{[1
]}

Endo, Hideaki ^{[1
]}

Yaegashi, Hiroshi ^{[2
]}

Nakamura, Akihiro ^{[1
]}

机构：

[1] Iwate Prefectural Cent Hosp, Dept Cardiol, Morioka, Japan

[2] Iwate Prefectural Cent Hosp, Dept Pathol, Morioka, Japan

来源：

INTERNAL MEDICINE | 2024年 / 63卷 / 06期

关键词：

myocarditis; myocardial calcification; mechanical circulatory support;

D O I：

10.2169/internalmedicine.2200-23

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Myocardial calcification in myocarditis is rare and may be linked to poor outcomes. We herein report a case of fulminant myocarditis with massive myocardial calcification and its pathological outcomes at autopsy. A 49-year-old man experienced chest pain and was diagnosed with acute myocarditis. His cardiac function did not recover despite mechanical circulatory support in combination with V-A extracorporeal membrane oxygenation and IMPELLA CP (R). He eventually developed sepsis and gastrointestinal bleeding and died on day 27. Diffuse myocardial calcification was observed on computed tomography at autopsy. The pathological autopsy depicted that calcification filled every myocardial cell in the left ventricle.

引用

页码：821 / 827

页数：7

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