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岁的男子在急性闭塞可能是 “显性” 左前降支冠状动脉后,在2年内接受了6次手术治疗,以治疗大规模双心室心肌梗死的各种并发症。其中包括合并修复梗死后前路VSD和右心室游离壁破裂,5周后梗死间隔中VSD的后后反复修复复发性VSD,4周后修复延迟的右心室游离壁破裂,16个月后修复左胸壁侵蚀的出血左心室动脉瘤,修复右上叶肺撕裂,导致前纵隔大出血,模仿另一次心脏破裂,2个月后,随后在同一次入院时,2周后,通过使用带蒂的肌皮背阔肌皮瓣进行胸骨缺损和感染的胸骨重建。背阔肌成形术5年后,患者仍处于NYHA 1级,并过着正常的生活。

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