A 58 year old man underwent 6 surgical interventions for various complications of massive biventricular myocardial infarction over a period of 2 years following acute occlusion of a possibly "hyperdominant" left anterior descending coronary artery. These included concomitant repair of apicoanterior post-infarction VSD and right ventricular free wall rupture, repeat repair of recurrent VSD following inferoposterior extension of VSD in the infarcted septum 5 weeks later, repair of delayed right ventricular free wall rupture 4 weeks subsequently, repair of a bleeding left ventricular aneurysm eroding through left chest wall 16 months thereafter, repair of right upper lobe lung tear causing massive anterior mediastinal haemorrhage, mimicking yet another cardiac rupture, 2 months later, followed, at the same admission, 2 weeks later, by sternal reconstruction for dehisced and infected sternum using pedicled myocutaneous latissimus dorsi flap. 5 years after the latissimus myoplasty, the patient remains in NYHA class 1 and is leading a normal life.

译文

:一名58岁的男子因可能阻塞“左旋”左冠状动脉前降支的急性闭塞,在2年内进行了6次外科手术,以应对大面积双室心肌梗死的各种并发症。这些措施包括并发修复梗死前尖锐湿疣和右心室游离壁破裂,在梗死间隔隔5周后在VSD的后壁延伸后重复修复复发性VSD,随后4周修复延迟的右心室游离壁破裂,修复术后16个月,左室壁上的左室动脉瘤出血消失,右上叶肺部撕裂的修复引起大量的前纵隔出血,在2个月后模仿了又一次心脏破裂,随后在同样的情况下(2周后)通过胸骨重建术带蒂的肌腱背阔肌皮瓣用于开裂和感染的胸骨。阔肌置换术后5年,该患者仍处于NYHA 1级,并过着正常的生活。

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