1. Left Atrial Intramural Hematoma Post-Ablation of Supraventricular Tachycardia
- Author
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Lauren Giudicatti, MBBS(Hons), Benjamin King, MBBS(Hons), Grad Dip(EP), Felicity Lee, MBBS(Hons), Kaitlyn Lam, MBBS, Nikki Stamp, MBBS, Ashu Gupta, MBBS, BMedSc(Hons), Sarah McClelland, MBBS, BSc, PhD, MBBCh, BAO, and Xiao-Fang Xu, MBBS, PhD
- Subjects
atrial fibrillation ,accessory pathway ,atrioventricular ,computed tomography ,electrophysiological study ,left atrial intramural hematoma ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
We report successful management of left atrial hematoma after ablation of supraventricular tachycardia. A 43-year-old female patient experienced chest pain immediately after radiofrequency ablation of a symptomatic left posterolateral accessory pathway. Transthoracic echocardiography demonstrated a large mass occupying the left atrium. Computed tomography and transesophageal echocardiography results were consistent with posterolateral intramural hematoma. She became hemodynamically unstable, requiring emergent surgery. The mass resolved completely by 6 weeks. (Level of Difficulty: Beginner.)
- Published
- 2020
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