Levantino Maurizio, Anastasio Gerardo, Guarracino Fabio, Bortolotti Uberto
Section of Cardiac Surgery, Cardiac Thoracic and Vascular Department, Azienda Ospedaliero Universitaria, Pisa, Italy.
Interact Cardiovasc Thorac Surg. 2010 May;10(5):823-4. doi: 10.1510/icvts.2009.229047. Epub 2010 Feb 5.
Ventricular septal defect (VSD) and papillary muscle rupture are severe complications of myocardial infarction which are usually observed individually although their simultaneous occurrence has been observed in pathological studies. An 82-year-old female underwent repair of a post-infarction VSD and 13 days later required mitral valve replacement due to delayed papillary muscle rupture. Mechanical complications of myocardial infarction can occur in the same patient even in delayed fashion and a two-stage correction may be successfully accomplished.
室间隔缺损（VSD）和乳头肌破裂是心肌梗死的严重并发症，通常单独出现，尽管在病理学研究中已观察到它们同时发生。一名82岁女性接受了心肌梗死后室间隔缺损修复术，13天后因延迟性乳头肌破裂需要进行二尖瓣置换术。心肌梗死的机械性并发症即使以延迟的方式也可能发生在同一患者身上，并且可以成功完成两阶段矫正。
