Left Atrial Dissection Induced by Coronary Sinus Catheter-Related Injury

Zhanru Qi, MM; Fang Xu, MD; Mingxia Li, MD; Xuan Luo, MD; Zheyan Wang, MD; Xiaoxian Wang, MM; Beibei Ge, MM; Dongjin Wang, MD; Jing Yao, MD

JACC: Case Reports (Mar 2024)

Left Atrial Dissection Induced by Coronary Sinus Catheter-Related Injury

Zhanru Qi, MM,
Fang Xu, MD,
Mingxia Li, MD,
Xuan Luo, MD,
Zheyan Wang, MD,
Xiaoxian Wang, MM,
Beibei Ge, MM,
Dongjin Wang, MD,
Jing Yao, MD

Affiliations

Zhanru Qi, MM: Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China; Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
Fang Xu, MD: Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China; Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
Mingxia Li, MD: Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China; Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
Xuan Luo, MD: Department of Anesthesiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
Zheyan Wang, MD: Department of Anesthesiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
Xiaoxian Wang, MM: Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China; Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
Beibei Ge, MM: Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China; Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
Dongjin Wang, MD: Department of Cardiothoracic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
Jing Yao, MD: Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China; Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China; Address for correspondence: Dr Jing Yao, Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, 321 Zhongshan Road, Nanjing 210008, P.R. China.

Journal volume & issue: Vol. 29, no. 6
p. 102253

Abstract

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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.

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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