Left Atrial Intramural Hematoma Post-Ablation of Supraventricular Tachycardia

Lauren Giudicatti, MBBS(Hons); Benjamin King, MBBS(Hons), Grad Dip(EP); Felicity Lee, MBBS(Hons); Kaitlyn Lam, MBBS; Nikki Stamp, MBBS; Ashu Gupta, MBBS, BMedSc(Hons); Sarah McClelland, MBBS, BSc, PhD, MBBCh, BAO; Xiao-Fang Xu, MBBS, PhD

JACC: Case Reports (Feb 2020)

Left Atrial Intramural Hematoma Post-Ablation of Supraventricular Tachycardia

Lauren Giudicatti, MBBS(Hons),
Benjamin King, MBBS(Hons), Grad Dip(EP),
Felicity Lee, MBBS(Hons),
Kaitlyn Lam, MBBS,
Nikki Stamp, MBBS,
Ashu Gupta, MBBS, BMedSc(Hons),
Sarah McClelland, MBBS, BSc, PhD, MBBCh, BAO,
Xiao-Fang Xu, MBBS, PhD

Affiliations

Lauren Giudicatti, MBBS(Hons): Department of Cardiology, Fiona Stanley Hospital, Perth, Western Australia, Australia; Address for correspondence: Dr. Lauren Giudicatti, Department of Cardiology, Fiona Stanley Hospital, Perth, Western Australia, Australia.
Benjamin King, MBBS(Hons), Grad Dip(EP): Department of Cardiology, Fiona Stanley Hospital, Perth, Western Australia, Australia
Felicity Lee, MBBS(Hons): Department of Cardiology, Fiona Stanley Hospital, Perth, Western Australia, Australia
Kaitlyn Lam, MBBS: Department of Cardiology, Fiona Stanley Hospital, Perth, Western Australia, Australia
Nikki Stamp, MBBS: Department of Cardiothoracic Surgery and Transplantation, Fiona Stanley Hospital, Perth, Western Australia, Australia
Ashu Gupta, MBBS, BMedSc(Hons): Department of Radiology, Fiona Stanley Hospital, Perth, Western Australia, Australia
Sarah McClelland, MBBS, BSc, PhD, MBBCh, BAO: Department of Cardiology, Fiona Stanley Hospital, Perth, Western Australia, Australia
Xiao-Fang Xu, MBBS, PhD: Department of Cardiology, Fiona Stanley Hospital, Perth, Western Australia, Australia

Journal volume & issue: Vol. 2, no. 2
pp. 223 – 226

Abstract

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We report successful management of left atrial hematoma after ablation of supraventricular tachycardia. A 43-year-old female patient experienced chest pain immediately after radiofrequency ablation of a symptomatic left posterolateral accessory pathway. Transthoracic echocardiography demonstrated a large mass occupying the left atrium. Computed tomography and transesophageal echocardiography results were consistent with posterolateral intramural hematoma. She became hemodynamically unstable, requiring emergent surgery. The mass resolved completely by 6 weeks. (Level of Difficulty: Beginner.)

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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