Cargando…
Left Atrial Dissection Secondary to Retrograde Coronary Sinus Cannulation During a Stanford Acute Type-A Aortic Dissection Repair: A Case Report
Left atrial (LA) dissections are rare phenomena, often iatrogenic, caused by blood flow into a false lumen, potentially obstructing the pulmonary veins or flow into the left ventricle. Severity can range from an incidental observation or complete circulatory collapse. While LA dissections are often...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8876416/ https://www.ncbi.nlm.nih.gov/pubmed/35171844 http://dx.doi.org/10.1213/XAA.0000000000001568 |
_version_ | 1784658169125928960 |
---|---|
author | Halline, Christopher Winegarner, Andrew Maslow, Andrew Gorgone, Michelle |
author_facet | Halline, Christopher Winegarner, Andrew Maslow, Andrew Gorgone, Michelle |
author_sort | Halline, Christopher |
collection | PubMed |
description | Left atrial (LA) dissections are rare phenomena, often iatrogenic, caused by blood flow into a false lumen, potentially obstructing the pulmonary veins or flow into the left ventricle. Severity can range from an incidental observation or complete circulatory collapse. While LA dissections are often associated with mitral valve repair, there are 2 reported cases of LA dissections associated with retrograde cardioplegia cannula insertion through the coronary sinus. Here, we present a large LA dissection that was directly visualized and tracked to a coronary sinus injury from the retrograde cardioplegia cannula. The clinical presentation and echocardiography findings informed our subsequent management. |
format | Online Article Text |
id | pubmed-8876416 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-88764162022-03-03 Left Atrial Dissection Secondary to Retrograde Coronary Sinus Cannulation During a Stanford Acute Type-A Aortic Dissection Repair: A Case Report Halline, Christopher Winegarner, Andrew Maslow, Andrew Gorgone, Michelle A A Pract Case Report Left atrial (LA) dissections are rare phenomena, often iatrogenic, caused by blood flow into a false lumen, potentially obstructing the pulmonary veins or flow into the left ventricle. Severity can range from an incidental observation or complete circulatory collapse. While LA dissections are often associated with mitral valve repair, there are 2 reported cases of LA dissections associated with retrograde cardioplegia cannula insertion through the coronary sinus. Here, we present a large LA dissection that was directly visualized and tracked to a coronary sinus injury from the retrograde cardioplegia cannula. The clinical presentation and echocardiography findings informed our subsequent management. Lippincott Williams & Wilkins 2022-02-16 /pmc/articles/PMC8876416/ /pubmed/35171844 http://dx.doi.org/10.1213/XAA.0000000000001568 Text en Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the International Anesthesia Research Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Case Report Halline, Christopher Winegarner, Andrew Maslow, Andrew Gorgone, Michelle Left Atrial Dissection Secondary to Retrograde Coronary Sinus Cannulation During a Stanford Acute Type-A Aortic Dissection Repair: A Case Report |
title | Left Atrial Dissection Secondary to Retrograde Coronary Sinus Cannulation During a Stanford Acute Type-A Aortic Dissection Repair: A Case Report |
title_full | Left Atrial Dissection Secondary to Retrograde Coronary Sinus Cannulation During a Stanford Acute Type-A Aortic Dissection Repair: A Case Report |
title_fullStr | Left Atrial Dissection Secondary to Retrograde Coronary Sinus Cannulation During a Stanford Acute Type-A Aortic Dissection Repair: A Case Report |
title_full_unstemmed | Left Atrial Dissection Secondary to Retrograde Coronary Sinus Cannulation During a Stanford Acute Type-A Aortic Dissection Repair: A Case Report |
title_short | Left Atrial Dissection Secondary to Retrograde Coronary Sinus Cannulation During a Stanford Acute Type-A Aortic Dissection Repair: A Case Report |
title_sort | left atrial dissection secondary to retrograde coronary sinus cannulation during a stanford acute type-a aortic dissection repair: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8876416/ https://www.ncbi.nlm.nih.gov/pubmed/35171844 http://dx.doi.org/10.1213/XAA.0000000000001568 |
work_keys_str_mv | AT hallinechristopher leftatrialdissectionsecondarytoretrogradecoronarysinuscannulationduringastanfordacutetypeaaorticdissectionrepairacasereport AT winegarnerandrew leftatrialdissectionsecondarytoretrogradecoronarysinuscannulationduringastanfordacutetypeaaorticdissectionrepairacasereport AT maslowandrew leftatrialdissectionsecondarytoretrogradecoronarysinuscannulationduringastanfordacutetypeaaorticdissectionrepairacasereport AT gorgonemichelle leftatrialdissectionsecondarytoretrogradecoronarysinuscannulationduringastanfordacutetypeaaorticdissectionrepairacasereport |