A rare complication of primary percutaneous coronary intervention: Left atrial dissection and hematoma

Abstract

Introduction: Left atrial dissection and hematoma are a life threatening condition, which are rarely seen following percutaneous coronary interventions. Diagnosis of these complications may sometimes be difficult, despite the use of the latest imaging techniques. The case presented in this paper is the first case of left atrial dissection and hematoma as complications following primary percutaneous coronary intervention. Case Presentation: A 65-year-old male patient was admitted to the emergency department and acute inferolateral myocardial infarction was diagnosed. The left atrial hematoma as a rarely complication is developed in patients undergoing primary percutaneous coronary intervention. Conclusions: Preoperative echocardiography, applied before elective and emergency percutaneous coronary interventions, plays a key role in detecting many intervention-related complications in the post-intervention period.

Keywords

• Complication
• Primary PCI
• Hematoma
• Acute Coronary Syndrome