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Ann Thorac Surg 1999;68:1065-1066
© 1999 The Society of Thoracic Surgeons

Case Reports

Cardiogenic shock due to coronary narrowings one day after a MAZE III procedure

Eric Berreklouw, MD, PhDa, Frank Bracke, MDb, Albert Meijer, MD, PhDb, Kathinka H. Peels, MDb, Dorus Relik, MDb

a Cardiothoracic Surgery, Catharina Hospital, Eindhoven, The Netherlands
b Cardiology, Catharina Hospital, Eindhoven, The Netherlands

Address reprint requests to Dr Berreklouw, Department of Cardiothoracic Surgery, Catharina Hospital, Michelangelolaan 2, 5602 ZA Eindhoven, The Netherlands
e-mail: eberr{at}compuserve.com

A MAZE III procedure was performed on a patient with a small body surface area. On the first postoperative day, the patient developed severe dysfunction of the left ventricle, due to significant narrowings of the right and circumflex coronary arteries in the areas that were cryo-ablated during the MAZE III procedure. The coronary narrowings were treated by percutaneous transluminal coronary angioplasty (PTCA). At discharge the coronary anatomy was normal again with an almost normal left ventricular function.




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