Left atrial dissection

被引:25
作者
Tsukui H. [1 ]
Iwasa S. [1 ]
Yamazaki K. [1 ]
机构
[1] Department of Cardiovascular Surgery, Tokyo Women’s Medical University, 8-1 Kawada, Shinjuku, Tokyo
关键词
Complication; Left atrial dissection; Mitral valve surgery; Transesophageal echocardiography;
D O I
10.1007/s11748-015-0562-7
中图分类号
学科分类号
摘要
Left atrial (LA) dissection is a rare complication and is defined as a gap from the mitral or tricuspid annular area to the interatrial septum or left atrial wall. Because of its low incidence, this entity is not fully understood. LA dissection is related to mitral valve surgery as well as coronary artery disease, arrhythmia, trauma, tumor, and spontaneous occurrence. Transesophageal echocardiography is the most useful diagnostic modality for LA dissection, but multimodality investigation supports accurate diagnosis. There are two treatment options for LA dissection: surgical repair and close observation. Surgical repair involves entry closure and internal drainage. The indication for surgery should be based on the clinical presentation. © 2015, The Japanese Association for Thoracic Surgery.
引用
收藏
页码:434 / 445
页数:11
相关论文
共 71 条
[1]  
Gallego P., Oliver J.M., Gonzalez A., Dominguez F.J., Sanchez-Recalde A., Mesa J.M., Left atrial dissection: pathogenesis, clinical course, and transesophageal echocardiographic recognition, J Am Soc Echocardiogr, 14, pp. 813-820, (2001)
[2]  
Fukuhara S., Dimitrova K.R., Geller C.M., Hoffman D.M., Ko W., Tranbaugh R.F., Left atrial dissection: etiology and treatment, Ann Thorac Surg, 95, 5, pp. 1557-1562, (2013)
[3]  
Martinez-Selles M., Garcia-Fernandez M.A., Moreno M., Bermejo J., Delcan J.L., Echocardiographic features of left atrial dissection, Eur J Echocardiogr., 1, pp. 147-150, (2000)
[4]  
Maguire R., Interstitial aneurysm of the interauricular septum, Path Soc (London), 38, (1887)
[5]  
Naidu D.P., Nigro J., Alboliras E.T., Atrial septal hematoma after mitral valve and left coronary artery surgery in a child, Pediatr Cardiol, 34, pp. 2037-2039, (2013)
[6]  
Maeda K., Yamashita C., Shida T., Okada M., Nakamura K., Successful surgical treatment of dissecting left atrial aneurysm after mitral valve replacement, Ann Thorac Surg, 39, pp. 382-384, (1985)
[7]  
Ballal R., Nanda N.C., Sanyal R., Intraoperative transesophageal echocardiographic diagnosis of left atrial pseudoaneurysm, Am Heart J, 123, pp. 217-218, (1992)
[8]  
Grech E., Morrison L., Weir I., Harley A., Acute pulmonary edema due to pulmonary venous obstruction by left atrial dissection, Am Heart J, 126, 3, pp. 734-735, (1993)
[9]  
Goda T., Ishii K., Shiiya N., Oba J., Matsui Y., Yasuda K., Acute dissection of the interatrial septum after re-replacement of the mitral valve–a case report, Nihon Kyobu Geka Gakkai Zasshi., 42, pp. 1092-1095, (1994)
[10]  
Sekino Y., Sadahiro M., Tabayashi K., Successful surgical repair of left atrial dissection after mitral valve replacement, Ann Thorac Surg, 61, pp. 1528-1530, (1996)