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Conservative Management of Left Atrial Intramural Hematoma after Catheter Ablation

  • Received : 2015.07.16
  • Accepted : 2015.10.01
  • Published : 2016.07.30

Abstract

Left atrial intramural hematoma is a very rare complication of radiofrequency ablation procedures. A patient with tachyarrhythmia underwent radiofrequency catheter ablation. Echocardiography performed the following morning showed a large mass in the left atrium, suggestive of intramural hematoma formation. The patient was in a stable condition; therefore, it was decided that follow-up should be conservative and her anticoagulation therapy was continued. The size of the hematoma decreased significantly over the following 50 days. This case highlights a rare complication of a complex catheter ablation procedure in the left atrium that was managed via a noninvasive approach, with which all interventionists should be familiar.

Keywords

References

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Cited by

  1. Rapidly Occurring Left Atrial Chamber Narrowing Percutaneous Coronary Intervention vol.47, pp.3, 2018, https://doi.org/10.4326/jjcvs.47.118
  2. Left atrial intramural hematoma after percutaneous coronary intervention vol.9, pp.8, 2016, https://doi.org/10.1002/ccr3.4654