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Anesth Analg 2002;95:567-569
© 2002 International Anesthesia Research Society

CARDIOVASCULAR ANESTHESIA

Left Atrial Compression by a Pericardial Hematoma Presenting as an Obstructing Intracavitary Mass: A Difficult Differential Diagnosis

Edward Gologorsky, MD*, Angela Gologorsky, MD*, David L. Galbut, MD{dagger}, and Abraham Wolfenson, MD{ddagger}

*Division of Cardiac Anesthesia and {dagger}Departments of Cardiac and Thoracic Surgery and {ddagger}Cardiology, Miami Heart Institute, Miami Beach, Florida

Address correspondence to Edward Gologorsky, MD, Anesthesia Department, Memorial Regional Hospital, 3501 Johnson St, Hollywood, FL 33021. Address e-mail to IntMedCo{at}aol.com

IMPLICATIONS: The differential diagnosis of extracavitary, intramural and intracavitary disease may be difficult. An extrinsic compression of the left atrium by a dissecting pericardial hematoma was misdiagnosed as an intracavitary mass, by echocadiography and computer tomography. This case emphasizes the importance of patient history and clinical setting.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2002 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2002 by the International Anesthesia Research Society.