(Infarction of the left atrium resulting in its rupture)

Kučerka, Ondřej; Sedloň, Pavel; Traboulsi, Eva; Malý, Martin

doi:10.1016/j.crvasa.2018.02.009

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2020

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“…15 Myocardial infarction is the second most commonly reported cause of LA rupture. 16 It almost always is associated with hemodynamic instability, with features of tamponade in a closed chest or bleeding, hypotension, and hypovolemia perioperatively. Although LA injury does occur in cardiac surgery, it is visually apparent in the surgical field.…”

Section: Discussionmentioning

confidence: 99%

Left Atrial Dissection and Rupture Following Excision of Left Atrial Myxoma: Role of Transesophageal Echocardiography

Niyogi

Kumar

Singh

et al. 2020

Journal of Cardiothoracic and Vascular Anesthesia

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Left atrial mass after excision of a left atrial myxoma may occur due to residual or additional masses, such as biatrial or multicentric myxomas and inverted left atrial appendage. In this E-challenge, the authors present a case where intraoperative transesophageal echocardiography allowed visualization of a left atrial mass after excision of a left atrial myxoma. Detailed examination demonstrated that the mass was due to left atrial dissection that progressed to rupture, allowing its early detection and repair. A high index of suspicion, as well as coordination between the surgeon and the perioperative echocardiographer, played a crucial role in the detection and management of this complication.

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Section: Discussionmentioning

confidence: 99%