Abstract
Spontaneous interatrial hematoma is a rare clinical entity leading to the obliteration of the left atrial cavity and causing haemodynamic compromise, necessitating immediate surgical intervention. Herein, we report a patient with acute chest pain with normal coronaries and echocardiographic evidence of left atrial mass. The investigations revealed the mass to be a thrombus rather than tumour. The patient underwent surgery to remove a large thrombus completely enclosed within the interatrial septum. The septum was then repaired using a pericardial patch. No apparent etiological factor was found. Spontaneous atrial wall dissection should be considered in the differential diagnosis of acute chest pain.
Recommended Citation
Khazi, Fayaz Mohammed; Manoly, Imthiaz; Siddiqi, Nayyer R; Aziz, Tarek Abdel; and Aljassim, Obaid
(2024)
"Spontaneous Interatrial Hematoma: Still an Unresolved Critical Conundrum,"
Journal of the Saudi Heart Association: Vol. 36
:
Iss.
2
, Article 12.
Available at: https://doi.org/10.37616/2212-5043.1388
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