Related Experiment Video
Updated: Jun 29, 2025
Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
Left Atrial Dissection Induced by Coronary Sinus Catheter-Related Injury
Zhanru Qi1,2, Fang Xu1,2, Mingxia Li1,2
1Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Insights
A rare case of left atrial dissection occurred in a 46-year-old man after aortic surgery, likely due to catheter injury. Transesophageal echocardiography is vital for diagnosing this complication.
Area of Science:
- Cardiovascular Surgery
- Cardiac Imaging
- Pathology
Background:
- Aortic dissection surgery carries inherent risks.
- Catheter-based procedures can lead to iatrogenic injuries.
- Left atrial dissection is an exceptionally rare complication.
Observation:
- A 46-year-old male developed left atrial dissection post-aortic dissection repair.
- The dissection was linked to a coronary sinus catheter-related injury.
- Clinical presentation and diagnostic challenges were noted.
Findings:
- Transesophageal echocardiography confirmed the left atrial dissection.
- The injury mechanism involved catheter manipulation.
- Detailed discussion on pathogenesis and diagnostic criteria provided.
Implications:
- Highlights the need for vigilance regarding rare cardiac complications post-surgery.
- Emphasizes the diagnostic utility of transesophageal echocardiography in complex cardiac cases.
- Informs management strategies for left atrial dissection.
Abstract:
We present a unique case of left atrial (LA) dissection in a 46-year-old man following aortic dissection surgery. The LA dissection was attributed to coronary sinus catheter-related injury. This report highlights the importance of recognizing this rare complication and the crucial role of transesophageal echocardiography in its diagnosis. We discuss the pathogenesis, diagnostic criteria, and management strategies for LA dissection.
