冠状窦导管相关损伤所致左心房夹层

Left Atrial Dissection Induced by Coronary Sinus Catheter-Related Injury.

作者信息

Qi Zhanru, Xu Fang, Li Mingxia, Luo Xuan, Wang Zheyan, Wang Xiaoxian, Ge Beibei, Wang Dongjin, Yao Jing

机构信息

Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.

Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.

出版信息

JACC Case Rep. 2024 Feb 16;29(6):102253. doi: 10.1016/j.jaccas.2024.102253. eCollection 2024 Mar 20.

DOI:10.1016/j.jaccas.2024.102253

PMID:38549853

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10966368/

Abstract

We present a unique case of left atrial (LA) dissection in a 46-year-old man following aortic dissection surgery. The LA dissection was attributed to coronary sinus catheter-related injury. This report highlights the importance of recognizing this rare complication and the crucial role of transesophageal echocardiography in its diagnosis. We discuss the pathogenesis, diagnostic criteria, and management strategies for LA dissection.

摘要

我们报告了一例46岁男性在主动脉夹层手术后发生左心房（LA）夹层的独特病例。该左心房夹层归因于冠状窦导管相关损伤。本报告强调了认识这种罕见并发症的重要性以及经食管超声心动图在其诊断中的关键作用。我们讨论了左心房夹层的发病机制、诊断标准和管理策略。