AI Article Synopsis

  • Left atrial intramural hematoma (LAIH) is a rare but serious condition that requires quick diagnosis to make treatment decisions.
  • Causes of LAIH can include cardiac procedures, and while advanced imaging techniques like CT and MRI are effective, they're not always accessible.
  • This case study showcases how echocardiography can be helpful in diagnosing LAIH in critically ill patients, highlighting a particular instance where LAIH occurred after a catheter ablation, leading to serious complications that necessitated surgery.

Article Abstract

Left atrial intramural hematoma (LAIH) is an uncommon entity for which a timely diagnosis is critical for decision making. Cardiac surgical or catheter-based procedures are potential causing factors. Though cardiac computerized tomography and magnetic resonance are highly accurate diagnostic modalities, their role is limited by the lack of widespread availability. The present clinical case illustrates the diagnostic features of LAIH that can be obtained using echocardiography at the bedside in critically ill patients. We report a case of LAIH, that followed a catheter ablation procedure and was complicated by cardiac and cerebral ischemia. Cardiac surgical management was required.

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Source
http://dx.doi.org/10.1111/echo.15198DOI Listing

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