title: Conservative Management of Left Atrial Intramural Hematoma after Catheter Ablation.
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.
authors.affiliation: Department of Echocardiography, Day General Hospital, Tehran, Iran.
authors.forename: Bahieh
authors.initials: B
authors.lastname: Moradi
authors.affiliation: Department of Electrophysiology, Day General Hospital, Tehran, Iran.
authors.forename: Saeed
authors.initials: S
authors.lastname: Oraii
authors.affiliation: Department of Echocardiography, Day General Hospital, Tehran, Iran.
authors.forename: Farideh
authors.initials: F
authors.lastname: Roshanali
authors.affiliation: Department of Electrophysiology, Day General Hospital, Tehran, Iran.
authors.forename: Alireza
authors.initials: A
authors.lastname: Ghorbanisharif
authors.affiliation: Department of Electrophysiology, Day General Hospital, Tehran, Iran.
authors.forename: Javad
authors.initials: J
authors.lastname: Mikaeili
authors.affiliation: Department of Radiology, Day General Hospital, Tehran, Iran.
authors.forename: Mahmood
authors.initials: M
authors.lastname: Tahraei
keywords: Ablation; Complications; Heart atria; Hematoma; Radiofrequency