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Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation

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Acquired accessory left atrium.

Mohammad Bagher Sharifkazemi¹, Reza Mollazadeh, Mahmood Zamirian

¹Cardiology Department, Nemazee Hospital, Shiraz University of Medical Science, Zand Avence, P.O. Box: 71435-1414, Shiraz, Iran.

European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology

|October 9, 2007

Summary

A patient developed a separate left atrial chamber after mitral valve replacement, leading to shock and death. This rare complication highlights the risks of rheumatic mitral regurgitation surgery.

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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

Published on: February 8, 2022

Area of Science:

Cardiovascular Surgery
Cardiac Pathology
Echocardiography

Background:

Rheumatic mitral regurgitation necessitates surgical intervention, often mitral valve replacement.
Postoperative complications can arise, impacting patient outcomes.
Early diagnosis and management are crucial for complex cardiac cases.

Observation:

A 61-year-old woman presented with shock, dyspnea, and lower extremity swelling three weeks post-mitral valve replacement.
Clinical examination revealed signs of heart failure and a distinct murmur.
Transesophageal echocardiography identified an unusual echo-lucent area in the left atrium, suggesting a separate chamber.

Findings:

The patient had a large, separate chamber in the lateral left atrium communicating with the left ventricle.
Intraoperative findings confirmed left atrial dissection.
The patient could not be weaned from cardiopulmonary bypass and died during surgery.

Implications:

This case underscores the potential for rare, severe complications following mitral valve surgery.
Left atrial dissection presents a significant surgical challenge with high mortality.
Further research into identifying and mitigating risks associated with rheumatic heart disease surgery is warranted.