1. Left atrial intramural hematoma: The role of echocardiography
- Author
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Antonio Scotto di Quacquaro, Salvatore Nicolardi, Cosimo Angelo Greco, Mario Donateo, Luigi De Razza, Federica Mangia, Giovanni Casali, Massimiliano Garzya, Ennio Carmine Pisanò, Miriam Albanese, and Salvatore Zaccaria
- Subjects
medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Radiofrequency ablation ,medicine.medical_treatment ,Ischemia ,Magnetic resonance imaging ,Catheter ablation ,medicine.disease ,Cardiac surgery ,law.invention ,Catheter ,Intramural hematoma ,law ,Left atrial ,cardiovascular system ,medicine ,Radiology, Nuclear Medicine and imaging ,Radiology ,Cardiology and Cardiovascular Medicine ,business - Abstract
Left atrial intramural hematoma (LAIH) is an uncommon entity for which a timely diagnosis is critical for decision making. Cardiac surgical or catheter-based procedures are potential causing factors. Though cardiac computerized tomography and magnetic resonance are highly accurate diagnostic modalities, their role is limited by the lack of widespread availability. The present clinical case illustrates the diagnostic features of LAIH that can be obtained using echocardiography at the bedside in critically ill patients. We report a case of LAIH, that followed a catheter ablation procedure and was complicated by cardiac and cerebral ischemia. Cardiac surgical management was required.
- Published
- 2021
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