Cardiac Surgery Department, Vito Fazzi Hospital, Lecce, Italy.
School of Cardiology, "A. Moro" University of Bari, University Cardiology Unit, University Policlinic Hospital of Bari, Bari, Italy.
Echocardiography. 2021 Oct;38(10):1821-1827. doi: 10.1111/echo.15198. Epub 2021 Sep 23.
Left atrial intramural hematoma (LAIH) is an uncommon entity for which a timely diagnosis is critical for decision making. Cardiac surgical or catheter-based procedures are potential causing factors. Though cardiac computerized tomography and magnetic resonance are highly accurate diagnostic modalities, their role is limited by the lack of widespread availability. The present clinical case illustrates the diagnostic features of LAIH that can be obtained using echocardiography at the bedside in critically ill patients. We report a case of LAIH, that followed a catheter ablation procedure and was complicated by cardiac and cerebral ischemia. Cardiac surgical management was required.
左心房壁内血肿（LAIH）是一种不常见的病症，及时诊断对于决策至关重要。心脏手术或基于导管的程序是潜在的致病因素。虽然心脏计算机断层扫描和磁共振成像都是高度准确的诊断方式，但由于缺乏广泛的可用性，其作用受到限制。本临床病例说明了在危重病患者床边使用超声心动图可以获得的 LAIH 的诊断特征。我们报告了一例 LAIH 病例，该病例继发于导管消融术，并伴有心脏和脑缺血并发症。需要进行心脏手术治疗。
