Intraoperative left atrial dissection following mitral valve surgery: Report of a case treated surgically

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[Released on 17/11/2022]

Authors: Matteo Matteucci MD , Federica Torchio MD , Corinne Messina MD , Giovanna Inzigneri MD , Paolo Severgnini MD , Andrea Musazzi MD

Abstract

Left atrial dissection (LatD) is an exceedingly rare but serious complication of cardiac surgery. Its clinical presentation is very different in individual cases. Surgical treatment for LatD is often selected when the patient is hemodynamically unstable; conservative treatments are commonly employed under stable conditions. We report a case of LatD after mitral valve replacement that was treated surgically with creation of an atrial fenestration.

Keywords: left atrial dissection; mitral valve replacement; transesophageal echocardiography.

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Intraoperative left atrial dissection following mitral valve surgery: Report of a case treated surgically

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Abstract

Left atrial dissection (LatD) is an exceedingly rare but serious complication of cardiac surgery. Its clinical presentation is very different in individual cases. Surgical treatment for LatD is often selected when the patient is hemodynamically unstable; conservative treatments are commonly employed under stable conditions. We report a case of LatD after mitral valve replacement that was treated surgically with creation of an atrial fenestration.

Keywords: left atrial dissection; mitral valve replacement; transesophageal echocardiography.

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