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

DOI
https://doi.org/10.1016/j.jaccas.2019.08.032
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.)

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