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  • Title: Non-iatrogenic left atrial wall dissection.
    Author: Toporcer T, Vachalcová M, Kolesár A, Gejguš M, Sabol F, Valočík G.
    Journal: J Clin Ultrasound; 2021 Sep; 49(7):686-689. PubMed ID: 33469923.
    Abstract:
    Non-iatrogenic left atrial wall dissection is a rare lesion defined as a gap from the mitral valve annulus to the interatrial septum or wall of the left atrium. We report the case of a 57-year-old man with symptoms of acute cardiac and renal failure. Trans-esophageal echocardiography and computed tomography showed significant mitral valve regurgitation and dissection of the posterior wall of the left atrium. On the basis of detailed trans-esophageal echocardiography, the patient underwent mitral valve replacement with closure of the dissection orifice, which appears to be the appropriate therapeutic strategy in cases of spontaneous left atrial wall dissection.
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