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Left atrial intramural hematoma: the main role of echocardiography
  • +8
  • Cosimo Greco,
  • Miriam Albanese,
  • Ennio Pisanò,
  • Massimiliano Garzya,
  • Mario Donateo,
  • Salvatore Nicolardi,
  • Antonio Scotto di Quacquaro,
  • Federica Mangia,
  • Luigi De Razza,
  • Giovanni Casali,
  • Salvatore Zaccaria
Cosimo Greco
Hospital Vito Fazzi
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Miriam Albanese
Università degli Studi di Bari Aldo Moro Scuola di Medicina
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Ennio Pisanò
Hospital Vito Fazzi
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Massimiliano Garzya
Hospital Vito Fazzi
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Mario Donateo
Hospital Vito Fazzi
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Salvatore Nicolardi
Hospital Vito Fazzi
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Antonio Scotto di Quacquaro
Hospital Vito Fazzi
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Federica Mangia
Hospital Vito Fazzi
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Luigi De Razza
Hospital Vito Fazzi
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Giovanni Casali
Hospital Vito Fazzi
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Salvatore Zaccaria
Hospital Vito Fazzi
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Abstract

Left atrial intramural hematoma (LAIH) is an uncommon entity for which a timely diagnosis is critical for decision making. Cardiac surgical or catheter-based procedures are potential causing factors. Though cardiac computerized tomography and magnetic resonance are highly accurate diagnostic modalities, their role is limited by the lack of widespread availability. The present clinical case illustrates the diagnostic features of LAIH that can be obtained using echocardiography at the bedside in critically ill patients. We report a case of LAIH, that followed a catheter ablation procedure and was complicated by cardiac and cerebral ischemia. Cardiac surgical management was required.

Peer review status:ACCEPTED

25 May 2021Submitted to Echocardiography
26 May 2021Submission Checks Completed
26 May 2021Assigned to Editor
18 Jun 2021Reviewer(s) Assigned
05 Aug 2021Review(s) Completed, Editorial Evaluation Pending
06 Aug 2021Editorial Decision: Revise Minor
11 Aug 20211st Revision Received
11 Aug 2021Submission Checks Completed
11 Aug 2021Assigned to Editor
11 Aug 2021Reviewer(s) Assigned
22 Aug 2021Review(s) Completed, Editorial Evaluation Pending
23 Aug 2021Editorial Decision: Accept