Volume 38, Issue 10 pp. 1821-1827
CASE REPORT

Left atrial intramural hematoma: The role of echocardiography

Cosimo Angelo Greco MD

Corresponding Author

Cosimo Angelo Greco MD

Cardiac Surgery Department, Vito Fazzi Hospital, Lecce, Italy

Correspondence

Cosimo Angelo Greco MD, Cardiac Surgery Department, Vito Fazzi Hospital, Piazza F. Muratore 1, Lecce 73100, Italy.

Email: [email protected]

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Miriam Albanese MD

Miriam Albanese MD

School of Cardiology, “A. Moro” University of Bari, University Cardiology Unit, University Policlinic Hospital of Bari, Bari, Italy

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Ennio Carmine Pisanò MD

Ennio Carmine Pisanò MD

Cardiology and Intensive cardiac care Unit, Vito Fazzi Hospital, Lecce, Italy

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Massimiliano Garzya MD

Massimiliano Garzya MD

Cardiology and Intensive cardiac care Unit, Vito Fazzi Hospital, Lecce, Italy

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Mario Donateo MD

Mario Donateo MD

Cardiology and Intensive cardiac care Unit, Vito Fazzi Hospital, Lecce, Italy

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Salvatore Nicolardi MD

Salvatore Nicolardi MD

Cardiac Surgery Department, Vito Fazzi Hospital, Lecce, Italy

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Antonio Scotto di Quacquaro MD

Antonio Scotto di Quacquaro MD

Cardiac Surgery Department, Vito Fazzi Hospital, Lecce, Italy

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Federica Mangia MD

Federica Mangia MD

Cardiac Surgery Department, Vito Fazzi Hospital, Lecce, Italy

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Luigi De Razza MD

Luigi De Razza MD

Cardiac Surgery Department, Vito Fazzi Hospital, Lecce, Italy

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Giovanni Casali MD

Giovanni Casali MD

Cardiac Surgery Department, Vito Fazzi Hospital, Lecce, Italy

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Salvatore Zaccaria MD

Salvatore Zaccaria MD

Cardiac Surgery Department, Vito Fazzi Hospital, Lecce, Italy

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First published: 23 September 2021

Abstract

Left atrial intramural hematoma (LAIH) is an uncommon entity for which a timely diagnosis is critical for decision making. Cardiac surgical or catheter-based procedures are potential causing factors. Though cardiac computerized tomography and magnetic resonance are highly accurate diagnostic modalities, their role is limited by the lack of widespread availability. The present clinical case illustrates the diagnostic features of LAIH that can be obtained using echocardiography at the bedside in critically ill patients. We report a case of LAIH, that followed a catheter ablation procedure and was complicated by cardiac and cerebral ischemia. Cardiac surgical management was required.

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