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- Anand Jothidasan, Saina Attaran, David Hunter, and Anthony C de Souza.
- Cardiothoracic Department, Royal Brompton Hospital, Imperial College, London, United Kingdom.
- Ann. Thorac. Surg. 2014 Jun 1; 97 (6): 2196-7.
AbstractLeft 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. Copyright © 2014 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
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