Left Atrial Dissection Induced by Coronary Sinus Catheter-Related Injury

Zhanru Qi; Fang Xu; Mingxia Li; Xuan Luo; Zheyan Wang; Xiaoxian Wang; Beibei Ge; Dongjin Wang; Jing Yao

doi:10.1016/j.jaccas.2024.102253

Left Atrial Dissection Induced by Coronary Sinus Catheter-Related Injury

JACC Case Rep. 2024 Feb 16;29(6):102253. doi: 10.1016/j.jaccas.2024.102253. eCollection 2024 Mar 20.

Authors

Zhanru Qi^{1

2}, Fang Xu^{1

2}, Mingxia Li^{1

2}, Xuan Luo³, Zheyan Wang³, Xiaoxian Wang^{1

2}, Beibei Ge^{1

2}, Dongjin Wang⁴, Jing Yao^{1

2}

Affiliations

¹ Department of Ultrasound Medicine, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
² Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
³ Department of Anesthesiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
⁴ Department of Cardiothoracic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.

Abstract

We present a unique case of left atrial (LA) dissection in a 46-year-old man following aortic dissection surgery. The LA dissection was attributed to coronary sinus catheter-related injury. This report highlights the importance of recognizing this rare complication and the crucial role of transesophageal echocardiography in its diagnosis. We discuss the pathogenesis, diagnostic criteria, and management strategies for LA dissection.

Keywords: complication; coronary sinus; dissection; echocardiography; left atrium.

Publication types

Case Reports