Left atrial wall hematoma as a consequence of percutaneous coronary angioplasty
Giovanni Domenico Cresce1, Diletta Peluso, Marco Panfili
1Division of Cardiac Surgery, San Bortolo Hospital, Vicenza, Italy. gd.cresce@yahoo.it
Insights
A rare complication of coronary stenting, intramural left atrial hematoma, occurred in a 73-year-old man. The patient was successfully treated using minimally invasive surgery.
Area of Science:
- Cardiology
- Cardiac Surgery
- Interventional Cardiology
Background:
- Coronary stenting can lead to rare complications.
- Intramural left atrial dissection and hematoma are exceptionally uncommon sequelae.
Observation:
- A 73-year-old male presented with severe left circumflex coronary artery stenosis.
- Percutaneous coronary angioplasty was performed for revascularization.
Findings:
- The procedure resulted in an intramural left atrial hematoma.
- The patient underwent successful treatment via a minimally invasive port-access surgical approach.
Implications:
- This case highlights a rare but serious complication of coronary stenting.
- Minimally invasive surgery offers a viable treatment option for this condition.
- Emphasizes the importance of vigilance for atypical cardiac events post-intervention.
Abstract:
Intramural left atrial dissection and hematoma as a complication of a coronary stenting procedure is a very rare entity. We report the case of a 73-year-old man who underwent percutaneous coronary angioplasty for a severe stenosis of the left circumflex coronary artery, complicated by a left atrial intramural hematoma, and was successfully treated with via a minimally invasive port-access surgical approach.
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