Left Atrial Intramural Hematoma Post-Ablation of Supraventricular Tachycardia A Rare Complication Treated Successfully

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...

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Published inJACC. Case reports Vol. 2; no. 2; pp. 223 - 226
Main Authors Giudicatti, Lauren, King, Benjamin, Lee, Felicity, Lam, Kaitlyn, Stamp, Nikki, Gupta, Ashu, McClelland, Sarah, Xu, Xiao-Fang
Format Journal Article
LanguageEnglish
Published Elsevier 05.02.2020
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Mini-Focus Issue: Electrophysiology
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Summary: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. ) This paper reports successful management of left atrial hematoma after ablation of supraventricular tachycardia. A 43-year-old female patient experienced chest pain immediately…
ISSN:2666-0849
DOI:10.1016/j.jaccas.2019.08.032