著者
Masuda Reiji Hatakeyama Makoto Yokoyama Katsuhide Tanaka Masaru
出版者
Public Library of Science
雑誌
PLOS ONE (ISSN:19326203)
巻号頁・発行日
vol.11, no.12, 2016-12-12
被引用文献数
18

5年間の潜水調査で2011年津波後の海の生き物たちの回復が明らかに. 京都大学プレスリリース. 2016-12-13.
著者
ONODERA T. FUJIWARA Hisayoshi TANAKA Masaru Wu Der-jinn HAMASHIMA Yoshihiro KAWAI Chuichi
出版者
社団法人日本循環器学会
雑誌
Jpn Circ J (ISSN:00471828)
巻号頁・発行日
vol.50, pp.614-618, 1986
被引用文献数
1

An autopsied patient who showed typical dilated cardiomyopathy (DCM)-like features and was pathologically diagnosed with hypertrophic cardiomyopathy (HCM) is presented. The patient, a 60-year-old male at the time of death, died of intractable congestive heart failure. At autopsy the heart weighted 570g and showed marked left ventricular (LV) dilatation with a thin wall (ventricular septum/free wall of the LV=7mm/8mm). There was no evidence of significant stenosis in the extramural coronary arteries. Massive fibrosis was found in the middle and outer thirds of the ventricular septum and anterior wall of the LV (48% in the ventricular septum and 9% in the free wall of the LV). As myocytes were not present in the area with massive fibrosis, percent area of disarray was calculated excluding the area of massive fibrosis and found to be 30% in the ventricular septum. Based on the marked increase in the percent area of disarray, this case was diagnosed as HCM. The patient's 37-year-old son showed asymmetric septal hypertrophy on echocardiography (ventricular septum/posterior wall of the LV = 15mm / 11mm), marked LV hypertrophy on electrocardiography, and diffuse and marked disarray by endomyocardial biopsy. There were also LV dilatation (LV diastolic dimension =51 mm) and hypokinesis of the LV ; as a result, a diagnosis of HCM with features of DCM was made.