title: Left atrial dissection related to retrograde cardioplegia cannula insertion.
abstract: Left atrial dissection (LAD) 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. LAD is related to mitral valve surgery as well as coronary artery disease, arrhythmia, trauma, and tumors, and occurs spontaneously. Transesophageal echocardiography is the most useful diagnostic modality for LAD, but multimodality investigation supports accurate diagnosis. We experienced a case of LAD related to retrograde cardioplegia cannula insertion which was treated successfully with internal drainage.
authors: Department of Cardiovascular Surgery, Tokyo Women's Medical University, 8-1 Kawada, Shinjuku, Tokyo, 162-8666, Japan. htsukui@wf7.so-net.ne.jp.
authors: Hiroyuki
authors: H
authors: Tsukui
authors: Department of Cardiovascular Surgery, Tokyo Women's Medical University, 8-1 Kawada, Shinjuku, Tokyo, 162-8666, Japan.
authors: Shizuko
authors: S
authors: Iwasa
authors: Department of Cardiovascular Surgery, Tokyo Women's Medical University, 8-1 Kawada, Shinjuku, Tokyo, 162-8666, Japan.
authors: Kenji
authors: K
authors: Yamazaki
mesh_terms: D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation*; D062906:Cardiac Catheters; D004322:Drainage; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D006324:Heart Arrest, Induced / Q000009:adverse effects* / Q000295:instrumentation*; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000293:injuries*; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Coronary sinus; Left atrial dissection; Mitral valve surgery; Retrograde cardioplegia; Transesophageal echocardiography
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