Conservative Management of Left Atrial Intramural Hematoma after Catheter Ablation.
10.4070/kcj.2016.46.4.580
- Author:
Bahieh MORADI
1
;
Saeed ORAII
;
Farideh ROSHANALI
;
Alireza GHORBANISHARIF
;
Javad MIKAEILI
;
Mahmood TAHRAEI
Author Information
1. Department of Echocardiography, Day General Hospital, Tehran, Iran. faraviolet@yahoo.com
- Publication Type:Case Report
- Keywords:
Heart atria;
Radiofrequency;
Ablation;
Hematoma;
Complications
- MeSH:
Catheter Ablation*;
Catheters*;
Echocardiography;
Follow-Up Studies;
Heart Atria;
Hematoma*;
Humans;
Tachycardia
- From:Korean Circulation Journal
2016;46(4):580-583
- CountryRepublic of Korea
- Language:English
-
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.