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Ann Thorac Surg 2003;76:276-277
© 2003 The Society of Thoracic Surgeons
a Unità Operativa di Cardiochirurgia, Istituto Clinico Humanitas, Rozzano, Italy
b Divisione di Cardiochirurgia, Ospedale Civico, Alessandria, Italy
Accepted for publication December 6, 2002.
* Address reprint requests to Dr Manasse, Via G de Grassi 17, Milan 20123, Italy, USA
e-mail: e.manasse{at}inwind.it
We present a case of left main coronary arterial lesion in a 62-year-old man who had undergone mitral valve replacement and microwave epicardial ablation. On postoperative day 90, the patient had an anterior myocardial infarction. The coronary angiography displayed the diagnosis of the left main trunk lesion. A myocardial revascularization was urgently performed, the postoperative course was uneventful, and the patient was in sinus rhythm. The left atrial epicardial ablation represents the ultimate step in the surgical treatment of chronic atrial fibrillation; nevertheless, the left main trunk lesion may occur as an extremely severe complication. The incorrect placement of the microwave probe may be responsible for the development of critical coronary artery stenosis.
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