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Intramural left atrial hematoma after aortocoronary artery surgery
Iulian Musat1, Cornelia Hieber, Anton Kepka
1*Department of Anesthesia and Intensive Care, Lainz Hospital, †Surgical Department, Lainz Hospital, and the ‡Ludwig Boltzmann Institute for Economics of Medicine in Anesthesia and Intensive Care, Vienna, Austria.
Unlabelled:
We report the occurrence of an intraoperative left atrial hematoma during coronary artery bypass grafting surgery. Echocardiography proved to be of great help in diagnosis and monitoring of this patient. After severe hemodynamic impairment the patient recovered and could be transferred on postoperative day eight. Follow-up examination showed no signs of atrial pathologies. Differential diagnosis and echocardiographic findings are discussed.
Implications:
The authors report the utility of transesophageal echocardiography for diagnosis and management of an intramural left atrial hematoma during coronary artery surgery.
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