A Rare Cause of a Left Atrial Mass.

Abstract:

:Intramyocardial hematomas are a rare complication of myocardial infarctions. Normally restricted to the left ventricle, in certain scenarios, such as after a percutaneous coronary intervention, intramyocardial hematomas also can occur in the left atrium. Herein, the case of a 74-year-old man who presented to the authors' institution with a large inferior wall myocardial infarction refractory to multiple pressor therapy and thus necessitated venoarterial extracorporeal membrane oxygenation support is described. Through the course of his hospital stay, the patient developed a large left atrial intramyocardial hematoma obstructing mitral inflow as seen on intraoperative transesophageal echocardiography. Ultimately, because of the patient's complex comorbid status, his case was managed conservatively. In this E-challenge, the reason for the conservative approach and the alternative approach of surgically draining the intramyocardial hematoma are discussed.

authors

Patoli D,Alghanem H,Tung A

doi

10.1053/j.jvca.2020.06.053

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

2827-2829

issue

10

eissn

1053-0770

issn

1532-8422

pii

S1053-0770(20)30595-4

journal_volume

34

pub_type

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