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2. Left Atrial Intramural Hematoma Post-Ablation of Supraventricular Tachycardia

Author

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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