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Left Atrial Intramural Hematoma Post-Ablation of Supraventricular Tachycardia: A Rare Complication Treated Successfully

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...

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Autores principales: Giudicatti, Lauren, King, Benjamin, Lee, Felicity, Lam, Kaitlyn, Stamp, Nikki, Gupta, Ashu, McClelland, Sarah, Xu, Xiao-Fang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8298298/
https://www.ncbi.nlm.nih.gov/pubmed/34317208
http://dx.doi.org/10.1016/j.jaccas.2019.08.032
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author Giudicatti, Lauren
King, Benjamin
Lee, Felicity
Lam, Kaitlyn
Stamp, Nikki
Gupta, Ashu
McClelland, Sarah
Xu, Xiao-Fang
author_facet Giudicatti, Lauren
King, Benjamin
Lee, Felicity
Lam, Kaitlyn
Stamp, Nikki
Gupta, Ashu
McClelland, Sarah
Xu, Xiao-Fang
author_sort Giudicatti, Lauren
collection PubMed
description 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.)
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spelling pubmed-82982982021-07-26 Left Atrial Intramural Hematoma Post-Ablation of Supraventricular Tachycardia: A Rare Complication Treated Successfully Giudicatti, Lauren King, Benjamin Lee, Felicity Lam, Kaitlyn Stamp, Nikki Gupta, Ashu McClelland, Sarah Xu, Xiao-Fang JACC Case Rep Mini-Focus Issue: Electrophysiology 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.) Elsevier 2020-02-05 /pmc/articles/PMC8298298/ /pubmed/34317208 http://dx.doi.org/10.1016/j.jaccas.2019.08.032 Text en Crown Copyright © 2020 Published by Elsevier on behalf of the American College of Cardiology Foundation. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Mini-Focus Issue: Electrophysiology
Giudicatti, Lauren
King, Benjamin
Lee, Felicity
Lam, Kaitlyn
Stamp, Nikki
Gupta, Ashu
McClelland, Sarah
Xu, Xiao-Fang
Left Atrial Intramural Hematoma Post-Ablation of Supraventricular Tachycardia: A Rare Complication Treated Successfully
title Left Atrial Intramural Hematoma Post-Ablation of Supraventricular Tachycardia: A Rare Complication Treated Successfully
title_full Left Atrial Intramural Hematoma Post-Ablation of Supraventricular Tachycardia: A Rare Complication Treated Successfully
title_fullStr Left Atrial Intramural Hematoma Post-Ablation of Supraventricular Tachycardia: A Rare Complication Treated Successfully
title_full_unstemmed Left Atrial Intramural Hematoma Post-Ablation of Supraventricular Tachycardia: A Rare Complication Treated Successfully
title_short Left Atrial Intramural Hematoma Post-Ablation of Supraventricular Tachycardia: A Rare Complication Treated Successfully
title_sort left atrial intramural hematoma post-ablation of supraventricular tachycardia: a rare complication treated successfully
topic Mini-Focus Issue: Electrophysiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8298298/
https://www.ncbi.nlm.nih.gov/pubmed/34317208
http://dx.doi.org/10.1016/j.jaccas.2019.08.032
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