Intraoperative myocardial infarction during open-heart ablation of an atrioventricular accessory pathway.
We report a patient who suffered an intraoperative AMI from injury to the distal portion of a dominant left circumflex coronary artery in the atrioventricular groove. Depending upon coronary anatomy and location of accessory pathways, compromise of coronary circulation by nonintrinsic pathology can be a major cause of morbidity.
Giudici
M C
MC
Division of Cardiology, University of Missouri Hospitals, Columbia.
Flaker
G C
GC
Curtis
J J
JJ
D000368:Aged; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D003331:Coronary Vessels / Q000293:injuries*; D005260:Female; D006329:Heart Conduction System; D006801:Humans; D007431:Intraoperative Complications; D009203:Myocardial Infarction / Q000209:etiology*