Atrial wall hematoma after mitral valvuloplasty and maze procedure: A case report

Ayuko Shimozato, Yukihiro Kaneko, Myoue Kim, Hiroaki Takeuchi, Atsushi Oguri, Shigeto Yonemura, Hiroki Uozumi, Naoshi Kobayakawa, Akihiro Masuzawa, Jotaro Kobayashi, Teruhiko Aoyagi

    Research output: Contribution to journalArticle

    3 Citations (Scopus)

    Abstract

    A 66-year-old male patient with mitral regurgitation and atrial fibrillation underwent mitral valvuloplasty with a modified maze procedure. Follow-up echocardiography performed on the 4th postoperative day revealed a high echoic mass of 6.7 × 3.0 cm which appeared continuous to the left atrial wall and protruded into the left atrial cavity. The irregular surface of the mass echo was not compatible with atrial wall hematoma, so computed tomography (CT) was performed for the differential diagnosis. CT showed extension of the mass from the left atrium to the interatrial septum and right atrium, which lead to a conclusive diagnosis of atrial wall hematoma. Echocardiography showed the hematoma was diminished and eventually disappeared after simply reducing the warfarinization level. This rare case of atrial wall hematoma, especially after the maze procedure, required differential diagnosis from intraatrial thrombus and atrial wall dissection.

    Original languageEnglish
    Pages (from-to)353-358
    Number of pages6
    JournalJournal of cardiology
    Volume48
    Issue number6
    Publication statusPublished - 2006 Dec 1

    Keywords

    • Atrial fibrillation
    • Cardiac surgery (maze procedure)
    • Mitral regurgitation I
    • Thrombosis I

    ASJC Scopus subject areas

    • Cardiology and Cardiovascular Medicine

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  • Cite this

    Shimozato, A., Kaneko, Y., Kim, M., Takeuchi, H., Oguri, A., Yonemura, S., Uozumi, H., Kobayakawa, N., Masuzawa, A., Kobayashi, J., & Aoyagi, T. (2006). Atrial wall hematoma after mitral valvuloplasty and maze procedure: A case report. Journal of cardiology, 48(6), 353-358.