Left Atrial Intramural Hematoma Post-Ablation of Supraventricular Tachycardia: A Rare Complication Treated
Lauren Giudicatti1, Benjamin King1, Felicity Lee1
1Department of Cardiology, Fiona Stanley Hospital, Perth, Western Australia, Australia.
JACC. Case Reports
|July 28, 2021
Abstract:
We report successful management of left atrial hematoma after ablation of supraventricular tachycardia. A 43-year-old female patient experienced chest pain immediately after radiofrequency ablation of a symptomatic left posterolateral accessory pathway. Transthoracic echocardiography demonstrated a large mass occupying the left atrium. Computed tomography and transesophageal echocardiography results were consistent with posterolateral intramural hematoma. She became hemodynamically unstable, requiring emergent surgery. The mass resolved completely by 6 weeks. (Level of Difficulty: Beginner.).
Keywords:
AP, accessory pathwayAV, atrioventricularLAIH, left atrial intramural hematomaRFA, radiofrequency ablationSVT, supraventricular tachycardiaTEE, transesophageal echocardiogramTTE, transthoracic echocardiogramaccessory pathwayatrial fibrillationatrioventricularcomputed tomographyelectrophysiological studyleft atrial intramural hematoma
