tailieunhanh - Báo cáo y học: " Conservative treatment of a left atrial intramural hematoma after left atrial thrombus resection and concomitant mitral valve replacement - case report"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Conservative treatment of a left atrial intramural hematoma after left atrial thrombus resection and concomitant mitral valve replacement - case report. | Bruegger et al. Journal of Cardiothoracic Surgery 2011 6 50 http content 6 1 50 JCTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Conservative treatment of a left atrial intramural hematoma after left atrial thrombus resection and concomitant mitral valve replacement - case report 1 2 2 2 2 2 Dirk Bruegger Sebastian Sadoni Mikhail Primaychenko Ralf Sodian Christoph Schmitz Bruno Reichart and Daniel Chappell1 Abstract Left atrial intramural hematoma is a seldom cause of left atrial mass. It has been described to occur spontaneously after interventional procedures after blunt chest trauma or after aortocoronary bypass surgery. We present a case of mitral valve replacement together with the removal of a large intraatrial space-occupying lesion. Intraoperative transesophageal echocardiography confirmed a successful resection of this mass. Surprisingly upon admission to ICU transesophageal and transthoracic echocardiography revealed a recurrence of an intramural lesion closest matching a hematoma which was confirmed by contrast-enhanced computed tomography. Surgical intervention was thoroughly discussed but a conservative management was favoured. 3 months after surgery a reassessed transthoracic echocardiography and computed tomography demonstrated an almost complete resolution of the pre-existing hematoma. Background Atrial intramural hematomas are severe but rare complications of cardiac surgery and only few cases are described in literature. We present a case of an unexpected intramural left atrial hematoma following mitral valve replacement and concomitant left atrial thrombus resection and the beneficial role of perioperative echocardiography in detecting and monitoring this event. Case presentation A 76-year-old woman with a history of intermittent atrial fibrillation and cerebral infarction with left-sided hemiparesis was admitted to our hospital. Preoperative transesophageal echocardiography revealed a dilated left .

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