Penther P, Boschat J, Etienne Y, Le Potier J
Service de Cardiologie, CHRU Morvan, Brest.
Ann Cardiol Angeiol (Paris). 1988 Jul-Sep;37(7):361-3.
The association: anterior infarction of the left ventricle-posterior infarction of the right ventricle, is a rare entity. The authors report the case of a 64 year-old woman, who died on the fifth day of an extended anterior myocardial infarction, present on electrocardiograms; there were however immediate signs of right heart failure unexplained by a pericardial effusion. At the autopsy, the unusual length and distribution of the anterior interventricular artery which was completely obstructed near its origin by a thrombosis occurring on a severe atheromatous and calcified stenosis, explain this association.
左心室前壁梗死-右心室后壁梗死这种关联是一种罕见情况。作者报告了一例64岁女性病例，该患者在广泛前壁心肌梗死的第五天死亡，心电图显示存在这种情况；然而，存在右心衰竭的即刻体征，心包积液无法解释这些体征。尸检发现，前室间动脉的长度和分布异常，在严重动脉粥样硬化和钙化狭窄基础上形成的血栓使其在起源处附近完全阻塞，这就解释了这种关联。
