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Anesth Analg 2003;97:1605-1607
© 2003 International Anesthesia Research Society

CARDIOVASCULAR ANESTHESIA

Intramural Left Atrial Hematoma After Aortocoronary Artery Surgery

Iulian Musat, MD*, Cornelia Hieber, MD*, Anton Kepka, MD*, Petrus Novotny, MD*, Peter Poslussny, MD{dagger}, Sylvia Schwarz, MD*,{ddagger}, and Robert D. Fitzgerald, MD*,{ddagger}

*Department of Anesthesia and Intensive Care, Lainz Hospital, {dagger}Surgical Department, Lainz Hospital, and the {ddagger}Ludwig Boltzmann Institute for Economics of Medicine in Anesthesia and Intensive Care, Vienna, Austria

Address correspondence and reprint requests to Dr. Iulian Musat, Department of Anesthesia and Intensive Care, Wolkersbergenstraße 1, A-1130 Vienna Austria. Address email to iulian.musat{at}univie.ac.at or robert.fitzgerald@wienkav.at.

We report the occurrence of an intraoperative left atrial hematoma during coronary artery bypass grafting surgery. Echocardiography proved to be of great help in diagnosis and monitoring of this patient. After severe hemodynamic impairment the patient recovered and could be transferred on postoperative day eight. Follow-up examination showed no signs of atrial pathologies. Differential diagnosis and echocardiographic findings are discussed.

IMPLICATIONS: The authors report the utility of transesophageal echocardiography for diagnosis and management of an intramural left atrial hematoma during coronary artery surgery.




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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 2003 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2003 by the International Anesthesia Research Society.