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- Christopher Halline, Andrew Winegarner, Andrew Maslow, and Michelle Gorgone.
- From the Department of Anesthesiology, Rhode Island Hospital, Warren Alpert School of Medicine at Brown University, Providence, Rhode Island.
- A A Pract. 2022 Feb 16; 16 (2): e01568e01568.
AbstractLeft atrial (LA) dissections are rare phenomena, often iatrogenic, caused by blood flow into a false lumen, potentially obstructing the pulmonary veins or flow into the left ventricle. Severity can range from an incidental observation or complete circulatory collapse. While LA dissections are often associated with mitral valve repair, there are 2 reported cases of LA dissections associated with retrograde cardioplegia cannula insertion through the coronary sinus. Here, we present a large LA dissection that was directly visualized and tracked to a coronary sinus injury from the retrograde cardioplegia cannula. The clinical presentation and echocardiography findings informed our subsequent management.Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the International Anesthesia Research Society.
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