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A Pseudoaneurysm of the Left Atrium As a Rare Source of Coronary Artery Embolization Publisher Pubmed



Mohseni Badalabadi R1 ; Sahebjam M1 ; Poorhosseini H2 ; Jenab Y2 ; Haddadi M1 ; Hedayat B3
Authors
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Authors Affiliations
  1. 1. Echocardiography, Tehran University of Medical Sciences, Tehran Heart Center, Tehran, Iran
  2. 2. Interventional Cardiology, Tehran University Medical Sciences, Tehran Heart Center, Tehran, Iran
  3. 3. Cardiology, Tehran University of Medical Sciences, Tehran Heart Center, Tehran, Iran

Source: Echocardiography Published:2020


Abstract

A 67 years old woman with history of surgical Mitral valve replacement underwent transoesophageal echocardiography for evaluation of mild dyspnoea. It revealed a large narrow-necked outpouching from medial portion of the inferior wall of the left atrium (LA) that was extended to the interatrial septum. A diagnosis of the LA pseudoaneurysm was made. It contained a fresh clot. Five days later, the patient presented with an acute inferior ST-elevation myocardial infarction. Coronary angiography revealed an occluded right coronary artery at its distal part by a large thrombus. Thromboaspiration was done and resulted in restoration of a Thrombolysis in Myocardial Infarction Score (TIMI) flow 3 without underlying stenosis. © 2020 Wiley Periodicals LLC