Infective Left Atrial Dissecting Flap after Cardiac Surgery
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Left atrial dissection (LatD), defined as the forced separation of the left atrial (LA) wall layers by blood, is a rare and severe complicationof cardiac surgery. It is most frequently associated with atrioventricular junction injuries. We report a case of infected LatDafter coronary artery bypass graft, mitral valve replacement, aortic valve replacement and ascending aortic root replacement. Thepatient was presented with septicemia and disseminated intravascular coagulation. To the best of our knowledge, this is the firstcase report of LA dissecting flap concomitant with attached infective vegetations identified by transesophageal echocardiography.
Abstract
Left atrial dissection (LatD), defined as the forced separation of the left atrial (LA) wall layers by blood, is a rare and severe complicationof cardiac surgery. It is most frequently associated with atrioventricular junction injuries. We report a case of infected LatDafter coronary artery bypass graft, mitral valve replacement, aortic valve replacement and ascending aortic root replacement. Thepatient was presented with septicemia and disseminated intravascular coagulation. To the best of our knowledge, this is the firstcase report of LA dissecting flap concomitant with attached infective vegetations identified by transesophageal echocardiography.
참고문헌 (5)
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