Abstract
A proved case of myocardial infarction involving the interventricular septum showed complete heart block and intermittent anomalous atrioventricular excitation (short P-R interval, prolonged QRS complex). At necropsy an accessory right lateral bundle was found bridging the atrioventricular groove at the right posterolateral aspect of the heart. In this case anomalous ventricular excitation obliterated the QRS changes of posterior myocardial infarction, but the RS-T and T-wave changes persisted.
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