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http://dx.doi.org/10.4250/jcu.2014.22.4.205

LEFT ATRIAL INTRAMURAL HEMATOMA AFTER REMOVAL OF ATRIAL MYXOMA: CARDIAC MAGNETIC RESONANCE IN THE DIFFERENTIAL DIAGNOSIS OF INTRA-CARDIAC MASS  

Lee, Hee-Sun (Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital)
Kim, Hyung-Kwan (Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital)
Park, Eun-Ah (Department of Radiology, Seoul National University Hospital)
Kim, Kyung-Hwan (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital)
Kim, Yong-Jin (Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital)
Sohn, Dae-Won (Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital)
Publication Information
Journal of Cardiovascular Imaging / v.22, no.4, 2014 , pp. 205-208 More about this Journal
Abstract
Left atrial (LA) dissection is a rare entity, which is, in most cases, observed after valvular intervention. Transesophageal echocardiography (TEE) is considered to be a modality of choice in the diagnosis of LA dissection. However, LA dissection might be missed clinically in the absence of significant hemodynamic changes, and moreover physicians are occasionally reluctant to perform TEE due to its semi-invasiveness. Recently, cardiac magnetic resonance (CMR) has been introduced as a modality to perform different roles to existing imaging modalities, such as echocardiography. Given that CMR can provide information on tissue characteristics, it may give incremental information to TEE. We here present a rare case of LA dissection following LA myxoma removal, where CMR can make a correct diagnosis and guide management strategy.
Keywords
Left atrial dissection; Cardiac myxoma; Echocardiography; Cardiac magnetic resonance;
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1 Martinez-Selles M, Garcia-Fernandez MA, Moreno M, Bermejo J, Delcan JL. Echocardiographic features of left atrial dissection. Eur J Echocardiogr 2000;1:147-50.   DOI
2 Gallego P, Oliver JM, Gonzalez A, Dominguez FJ, Sanchez-Recalde A, Mesa JM. Left atrial dissection: pathogenesis, clinical course, and transesophageal echocardiographic recognition. J Am Soc Echocardiogr 2001;14:813-20.   DOI   ScienceOn
3 Biniwale RM. Atrial septal hematoma: after minimally invasive aortic valve replacement. Tex Heart Inst J 2010;37:102-5.
4 Osawa H, Yoshii S, Hosaka S, Suzuki S, Abraham SJ, Tada Y. Left atrial dissection after aortic valve replacement. J Thorac Cardiovasc Surg 2003;126:604-5.   DOI
5 Schecter SO, Fyfe B, Pou R, Goldman ME. Intramural left atrial hematoma complicating mitral annular calcification. Am Heart J 1996;132(2 Pt 1):455-7.   DOI
6 Cordero Lorenzana ML, Lopez Perez JM, Merayo Macias E, Gulias Lopez JM, Paz Rodriguez J. [Left atrial dissection and infective endocarditis]. Rev Esp Cardiol 1998;51:402-3.   DOI
7 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.   DOI
8 Fukuhara S, Dimitrova KR, Geller CM, Hoffman DM, Ko W, Tranbaugh RF. Left atrial dissection: etiology and treatment. Ann Thorac Surg 2013;95:1557-62.   DOI
9 Lestuzzi C, Nicolosi GL, Mimo R, Pavan D, Zanuttini D. Usefulness of transesophageal echocardiography in evaluation of paracardiac neoplastic masses. Am J Cardiol 1992;70:247-51.   DOI
10 Tasoglu I, Imren Y, Tavil Y, Zor H. Left atrial dissection following mass removal from right ventricle: non-surgical therapy. Interact Cardiovasc Thorac Surg 2005;4:173-4.   DOI
11 Delgado Jimenez JF, Rufilanchas JJ, Gomez Pajuelo C. Spontaneous left atrial haematoma. Int J Cardiol 1991;31:353-6.   DOI
12 Alvarez J, Rubio A, Mora Md, Fernandez Madero G, Vivancos R, Malpartida F. [Diagnosis by magnetic resonance imaging of a case of intramural left atrial hematoma]. Rev Esp Cardiol 2002;55:872-4.   DOI
13 Fernandez-Golfin C, Jimenez Lopez-Guarch C, Lopez Gude MJ. Left atrial wall dissection after mitral valve surgery: assessment with cardiac magnetic resonance. Magn Reson Imaging 2011;29:584-5.   DOI
14 Ortega JR, San Roman JA, Rollan MJ, Garcia A, Tejedor P, Huerta R. [Atrial hematoma in cardiac postoperative patients and the diagnostic use of transesophageal echocardiography]. Rev Esp Cardiol 2002;55:867-71.   DOI
15 Jani S, Hecht S, Leibowitz K, Berger M. Left atrial dissection: an unusual complication of mitral valve surgery. Echocardiography 2007;24:443-4.   DOI