Left Atrial Wall Dissection after Mitral Valve Replacement
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Left atrial dissection does occur, though rarely, after mitral valve surgery. A 68-year-old Korean female presented with moderate mitral stenosis, mild mitral regurgitation, moderate tricuspid regurgitation and mild aortic regurgitation. She was scheduled for mitral valve replacement and tricuspid annuloplasty. We experienced a left atrial dissection after weaning from cardiopulmonary bypass and decided not to repair it. The patient recovered uneventfully. We suggest that a specific type of left atrial dissection can be treated conservatively.
Abstract
Left atrial dissection does occur, though rarely, after mitral valve surgery. A 68-year-old Korean female presented with moderate mitral stenosis, mild mitral regurgitation, moderate tricuspid regurgitation and mild aortic regurgitation. She was scheduled for mitral valve replacement and tricuspid annuloplasty. We experienced a left atrial dissection after weaning from cardiopulmonary bypass and decided not to repair it. The patient recovered uneventfully. We suggest that a specific type of left atrial dissection can be treated conservatively.
참고문헌 (3)
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- Tang D, "Acute left atrial intramural wall dissection after mitral valve replacement", J Cardiothorac Vasc Anesth, 25, pp.498~500 (2011)
- Lanfranchi A, "A fast-growing obstructive left atrial intramural hematoma causing acute prolonged chest pain", Interact Cardiovasc Thorac Surg, 9, pp.363~365 (2009)