Internal medicine (Tokyo, Japan) · 2016
Massive Right Atrial Thrombus Formation Followed by an Atrial Flutter with 1:1 Atrioventricular Conduction in a Patient with Arrhythmogenic Right Ventricular Cardiomyopathy.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Ito Kanako, Iwasaki Yu-Ki, Fujimoto Yuhi, Oka Eiichiro, Takahashi Kenta, Tsuboi Ippei, Yodogawa Kenji, Hayashi Meiso, Miyauchi Yasushi, Shimizu Wataru
Аннотация
A 46-year-old man was admitted to our hospital for near syncope and palpitations. An electrocardiogram showed a common type of atrial flutter (AFL) with 1:1 atrioventricular conduction. Transthoracic echocardiography revealed a massive right atrial (RA) thrombus with a huge RA and right ventricle. The patient was diagnosed with arrhythmogenic right ventricular cardiomyopathy. It was difficult to control the heart rate with beta-blockers during AFL, which resulted in the deterioration of right-sided heart failure. The effect of anticoagulation therapy for the RA thrombus was also limited. Restoration to sinus rhythm by catheter ablation effectively improved the right-sided heart failure, and the massive RA thrombus eventually disappeared.