Management of a left atrial intramural hematoma after percutaneous intervention.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 24882308.
- Also identified by DOI 10.1016/j.athoracsur.2013.08.025.
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Abstract
Left atrial intramural hematoma is a rare complication of percutaneous intervention. We report the case of a 69-year-old man with recurrent angina after CABG 19 years ago who was admitted for percutaneous intervention. After an attempt to recanalize the native circumflex artery and the vein graft, he had a cardiac arrest and was resuscitated successfully. Transesophageal echocardiography showed a large expanding hematoma within the left atrial wall causing obstruction of the mitral valve and compressing the right atrium from across the septum. An emergency thoracotomy was performed and with transesophageal echocardiography guidance and left atrial intramural hematoma was drained successfully.
Medical subject headings
- Heart Diseases
- Hematoma
- Percutaneous Coronary Intervention