[Diagnosis by magnetic resonance imaging of a case of intramural left atrial hematoma].
We report a case of spontaneous intramural left atrial hematoma with chest pain and pulmonary edema as the primary clinical manifestations. Echocardiographic techniques revealed obstruction of the left atrial cavity by cyst-like masses attached to the posterior and anterior atrial wall. A large intramural hematoma due to extensive atrial wall dissection was observed by magnetic resonance imaging. Surgery confirmed the diagnosis of intramural left atrial hematoma with no complications. We review the clinical and diagnostic profile of the three cases of spontaneous intramural left atrial hematoma reported in the world medical literature.
Unidad de Cardiología, Hospital de Antequera, Malaga, Spain. jesusalvarezc@meditex.es
Jesús
J
Alvarez
Alvaro
A
Rubio
Manuel de
Md
Mora
Gabriel
G
Fernández Madero
Ricardo
R
Vivancos
Félix
F
Malpartida
D000328:Adult; D002637:Chest Pain / Q000209:etiology; D004322:Drainage; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006325:Heart Atria; D006331:Heart Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006406:Hematoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D013997:Time Factors; D018615:Ultrasonography, Doppler, Color