Wang Mengyan, Ji Fucheng, Zhou Jinfeng
Department of Anesthesiology, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, Qingdao, China.
Front Cardiovasc Med. 2024 Aug 5;11:1413713. doi: 10.3389/fcvm.2024.1413713. eCollection 2024.
Left atrial dissection (LatD) is a very rare complication of cardiac surgery, but it is relatively more common in mitral valve surgery. Transesophageal echocardiography (TEE) plays an important role in timely detection of LatD and accurate assessment of the condition, which are key factors in determining the patient's prognosis. There are two different treatment options for patients with or without circulatory crisis caused by dissection hematoma, namely surgical management and conservative treatment. In this report, we used TEE to quickly detect the cause and severity of LatD, which assisted the surgeon in making appropriate surgical decisions. The patient was successfully surgically treated for LatD.
左心房夹层（LatD）是心脏手术中一种非常罕见的并发症，但在二尖瓣手术中相对更为常见。经食管超声心动图（TEE）在及时检测LatD和准确评估病情方面发挥着重要作用，而这是决定患者预后的关键因素。对于因夹层血肿导致或未导致循环危机的患者，有两种不同的治疗选择，即手术治疗和保守治疗。在本报告中，我们使用TEE快速检测LatD的病因和严重程度，这有助于外科医生做出适当的手术决策。该患者因LatD成功接受了手术治疗。
