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Updated: Jun 17, 2026
06:29
Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Left atrial intramural haematoma associated with mitral annular calcification
Francisco Gual-Capllonch1, Javier Arce, Luis Serés
1Department of Cardiology, Hospital Germans Trias i Pujol, Carretera Canyet, s/n, Barcelona 08916, Spain. 35907fgc@comb.es/fgualc@gmail.com
Summary
Left atrial wall hematoma is a rare condition, often linked to medical procedures. This case highlights a spontaneous occurrence in a patient presenting with chest pain, diagnosed using advanced cardiac imaging.
Area of Science:
- Cardiology
- Diagnostic Imaging
- Pathology
Background:
- Left atrial wall hematoma is an exceptionally rare condition.
- It is primarily associated with cardiac surgery, interventional procedures, or trauma.
- Spontaneous cases are presumed to stem from underlying left atrial wall pathology.
Observation:
- A 53-year-old male presented with prolonged chest pain.
- Echocardiography revealed a left atrial mass near mitral annular calcification.
- Cardiac magnetic resonance imaging provided tissue characterization.
Findings:
- The left atrial mass was diagnosed using a combination of echocardiography and cardiac magnetic resonance imaging.
- The etiology of the mass was suggested by cardiac magnetic resonance imaging.
- Histological examination confirmed the diagnosis.
Implications:
- This case expands the understanding of spontaneous left atrial wall hematoma.
- It underscores the utility of advanced imaging techniques in diagnosing rare cardiac conditions.
- Accurate diagnosis is crucial for appropriate patient management.
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