Chavez C M, Rodriquez G, Conn J H
South Med J. 1979 Aug;72(8):961-4. doi: 10.1097/00007611-197908000-00020.
A 58-year-old man had sudden and progressive heart failure after a severe myocardial infarction. Aggressive medical treatment consisting of diuretics, vasopressors, and digitalis failed to improve his condition significantly. Cardiac catheterization disclosed a critical stenosis in the left anterior descending branch of the left coronary artery, a large posterior left ventricul aneurysm, and severe mitral insufficiency. Intermittent third degree heart block developed after admission. Surgical correction resulted in a dramatic recovery, and three years after operation he is fully recovered and asymptomatic.
一名58岁男性在严重心肌梗死后突发进行性心力衰竭。使用利尿剂、血管升压药和洋地黄进行的积极药物治疗未能显著改善他的病情。心脏导管检查显示左冠状动脉前降支严重狭窄、左心室后壁巨大动脉瘤以及严重二尖瓣关闭不全。入院后出现间歇性三度房室传导阻滞。手术矫正带来了显著康复，术后三年他已完全康复且无症状。
