Left atrial dissection after aortic valve surgery: An unusual clinical presentation and etiology.
DOI:
https://doi.org/10.37615/retic.v7n3a11Keywords:
left atrial dissection, aortic valve, transesophageal, echocardiographyAbstract
Left atrial dissection is a very unusual surgical complication after a valve surgery, offering a challenging diagnostic in our clinical practice routine. The clinical presentation could be highly variable, being the transesophageal echocardiogram the image test tool chosen for this diagnosis. Its treatment was initially conservative, but nowadays most require surgical resolution. We present the case of a 44-year-old man with a very unusual clinical presentation and etiology of this complication, in which the transesophageal echocardiogram was the diagnostic key.
Downloads
Metrics
References
Martínez SM, García MMM, Bermejo J, et al. Echocardiographic features of left atrial dissection. Eur J Echocardiogr. 2000;1:147-150. doi: https://doi.org/10.1053/euje.2000.0020 DOI: https://doi.org/10.1053/euje.2000.0020
Chida K, Ohkawa S, Nagashima K, et al. An autopsy case of incomplete left atrial rupture following left atrial infarction associated with left ventricular myocardial infarction. Jpn. Circ J. 1995;59:299-302. doi: https://doi.org/10.1253/jcj.59.299 DOI: https://doi.org/10.1253/jcj.59.299
Suraci N, Mihos CG, Volsky A. Left atrial dissection: A rare entity. Echocardiography. 2019;36(8):1598-1600. doi: https://doi.org/10.1111/echo.14434 DOI: https://doi.org/10.1111/echo.14434
Grech E, Morrison L, Weir I, et al. Acute pulmonary edema due to pulmonary venous obstruction by left atrial dissection. Am Heart J. 1993;126:734-735. doi: https://doi.org/10.1016/0002-8703(93)90435-c DOI: https://doi.org/10.1016/0002-8703(93)90435-C
Gallego P, Oliver JM, González A, et al. Left atrial dissection: pathogenesis, clinical course, and transesophageal echocardiographic recognition. J Am Soc Echocardiogr. 2001;14:813-820. doi: https://doi.org/10.1067/mje.2001.113366 DOI: https://doi.org/10.1067/mje.2001.113366
Osawa H, Shinpei Y, Hosaka S, et al. Left atrial dissection after aortic valve replacement. J Thorac Cardiovas Surg. 2003;126:604-605. doi: https://doi.org/10.1016/s0022-5223(03)00595-6 DOI: https://doi.org/10.1016/S0022-5223(03)00595-6
Leissner KB Srinivasa V, Beutler S. Left Atrial Dissection and Intramural Hematoma After Aortic Valve Replacement. J. Cardiothorac. Vasc. Anesth. 2011;25(2):309-310 doi: https://doi.org/10.1053/j.jvca.2010.03.011 DOI: https://doi.org/10.1053/j.jvca.2010.03.011
Sardar MR, Kaddissi GI, Sabir SA. First case of a left atrial dissection after transcatheter aortic valve replacement. Cardiovascular Revascularization Medicine. 2016;17(4):279-281. doi: https://doi.org/10.1016/j.carrev.2016.03.010 DOI: https://doi.org/10.1016/j.carrev.2016.03.010
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Pamela Garcés Henríquez, Fabrizio Fasce Villaseñor; Jorge Burnas Folch; Denisse Lagos Arriagada
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
RETIC is distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license https://creativecommons.org/licenses/by-nc-nd/4.0 which allows sharing, copying and redistribution of the material in any medium or format, under the following terms:
- Attribution: you must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests that the licensor endorses you or your use.
- Non-commercial: you may not use the material for commercial purposes.
- No Derivatives: if you remix, transform or build upon the material, you may not distribute the modified material.
- No Additional Restrictions: you may not apply legal terms or technological measures that legally restrict others from doing anything permitted by the license.
