J Cardiovasc Ultrasound.  2013 Sep;21(3):145-147. 10.4250/jcu.2013.21.3.145.

Left Atrial Wall Dissection after Mitral Valve Replacement

• Kim KW
• Kim JH
• Park SH
• Lee SI
• Kim JY
• Kim KT
• Choe WJ
• Park JS
• Kim JW

• KMID: 1500195
• DOI: http://doi.org/10.4250/jcu.2013.21.3.145

Abstract

Left atrial dissection does occur, though rarely, after mitral valve surgery. A 68-year-old Korean female presented with moderate mitral stenosis, mild mitral regurgitation, moderate tricuspid regurgitation and mild aortic regurgitation. She was scheduled for mitral valve replacement and tricuspid annuloplasty. We experienced a left atrial dissection after weaning from cardiopulmonary bypass and decided not to repair it. The patient recovered uneventfully. We suggest that a specific type of left atrial dissection can be treated conservatively.

Keyword

Atrium; Dissection; Mitral valve

MeSH Terms

Aged
Aortic Valve Insufficiency
Cardiopulmonary Bypass
Female
Humans
Mitral Valve Insufficiency
Mitral Valve Stenosis
Mitral Valve*
Tricuspid Valve Insufficiency