Arora Dheeraj, Mishra Manisha, Mehta Yatin, Trehan Naresh
Medanta Institute of Critical Care and Anaesthesiology, Medanta The Medicity, Gurugram, Haryana, India.
Medanta Heart Institute, Medanta The Medicity, Gurugram, Haryana, India.
Ann Card Anaesth. 2018 Jul-Sep;21(3):297-299. doi: 10.4103/aca.ACA_118_17.
Left atrial dissection (LatD) is a rare complication of cardiac surgery due to creation of a false chamber through a tear in the mitral valve annulus that extends into the left atrium wall. It is primarily associated with mitral valve surgery although other etiologies have also been defined. Perioperative transesophageal echocardiography (TEE) is a key to the diagnosis. This is a case report of management of LatD after mitral valve replacement.
左心房夹层（LatD）是心脏手术中一种罕见的并发症，由于二尖瓣环撕裂形成一个延伸至左心房壁的假腔所致。虽然也有其他病因被明确，但它主要与二尖瓣手术相关。围手术期经食管超声心动图（TEE）是诊断的关键。这是一例二尖瓣置换术后左心房夹层处理的病例报告。
