Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
권호 표지
DOI QR코드

DOI QR Code

Conservative Management of Left Atrial Intramural Hematoma after Catheter Ablation

  • Received : 2015.07.16
  • Accepted : 2015.10.01
  • Published : 2016.07.30
⟨ Previous Next ⟩

Abstract

Left atrial intramural hematoma is a very rare complication of radiofrequency ablation procedures. A patient with tachyarrhythmia underwent radiofrequency catheter ablation. Echocardiography performed the following morning showed a large mass in the left atrium, suggestive of intramural hematoma formation. The patient was in a stable condition; therefore, it was decided that follow-up should be conservative and her anticoagulation therapy was continued. The size of the hematoma decreased significantly over the following 50 days. This case highlights a rare complication of a complex catheter ablation procedure in the left atrium that was managed via a noninvasive approach, with which all interventionists should be familiar.

Keywords

References

  1. Lanfranchi A, Gelpi G, Rossi RS, Lemma M. A fast-growing obstructive left atrial intramural hematoma causing acute prolonged chest pain. Interact Cardiovasc Thorac Surg 2009;9:363-5. https://doi.org/10.1510/icvts.2009.205443
  2. Fukuhara S, Dimitrova KR, Geller CM, Hoffman DM, Tranbaugh RF. Left atrial dissection: an almost unknown entity. Interact Cardiovasc Thorac Surg 2015;20:96-100. https://doi.org/10.1093/icvts/ivu317
  3. Shaikh N, Rehman NU, Salazar MF, Grodman RS. Spontaneous intramural atrial hematoma presenting as a left atrial mass. J Am Soc Echocardiogr 1999;12:1101-3. https://doi.org/10.1016/S0894-7317(99)70108-2
  4. Gual-Capllonch F, Arce J, Serés L, et al. Left atrial intramural haematoma associated with mitral annular calcification. Eur J Echocardiogr 2010;11:E18.
  5. Kurek C,Gwechenberger M, Richter B, Binder T, Loewe C, Gossinger H. Intramural left atrial haematoma mimicking cardiac tamponade after catheter ablation of atrial fibrillation. Europace 2009;11:667-8. https://doi.org/10.1093/europace/eup052
  6. Kelly S, Bicknell SG, Sharma S. Left atrial wall hematoma after radiofrequency ablation for atrial fibrillation. AJR Am J Roentgenol 2006;186:1317-9. https://doi.org/10.2214/AJR.05.0102
  7. Sah R, Epstein LM, Kwong RY. Images in cardiovascular medicine. Intramural atrial hematoma after catheter ablation for atrial tachyarrhythmias. Circulation 2007;115:e446-7. https://doi.org/10.1161/CIRCULATIONAHA.106.684449

Cited by

  1. Rapidly Occurring Left Atrial Chamber Narrowing Percutaneous Coronary Intervention vol.47, pp.3, 2018, https://doi.org/10.4326/jjcvs.47.118
  2. Left atrial intramural hematoma after percutaneous coronary intervention vol.9, pp.8, 2016, https://doi.org/10.1002/ccr3.4654