Mwamure Peter, Pasupati Sanjeevan, Swarbrick Michael, Lin Raymond, Fisher Raewyn
Waikato Hospital, Waikato Hospital, Private Bag 3200, Hamilton 3240, New Zealand.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.01.2009.1491. Epub 2009 May 10.
A 70-year-old male presented to hospital with both anterior ST elevation myocardial infarction and spontaneous oesophageal rupture (Boerhaave's syndrome). He underwent primary angioplasty and stenting for a lesion of the left anterior descending in addition to cardiothoracic surgery for the oesophageal rupture. This combination of pathologies is a rare entity and often difficult to diagnose. To date, only a few cases have been reported.
一名70岁男性因前壁ST段抬高型心肌梗死和自发性食管破裂(博雷哈夫综合征)入院。除了因食管破裂接受心胸外科手术外,他还接受了针对左前降支病变的急诊血管成形术和支架置入术。这种病理组合是一种罕见的情况,通常难以诊断。迄今为止,仅有少数病例被报道。