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J. Cardiothorac. Vasc. Anesth. · Oct 2020
Left Atrial Dissection and Rupture Following Excision of Left Atrial Myxoma: Role of Transesophageal Echocardiography.
- Subhrashis Guha Niyogi, Bhupesh Kumar, Harkant Singh, and Indranil Biswas.
- Department of Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
- J. Cardiothorac. Vasc. Anesth. 2020 Oct 1; 34 (10): 2823-2826.
AbstractLeft 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.Copyright © 2020 Elsevier Inc. All rights reserved.
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