Vol. 72 No. 3 (2020)
Case Reports

Repair of left auricular dissection.

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  • Manuel Quiroz F.,
  • Minerva Jara C.,
  • Manuel Novajas B.
Manuel Quiroz F.
Hospital Dr. Gustavo Fricke
Minerva Jara C.
Hospital Dr. Gustavo Fricke
Manuel Novajas B.
Hospital Dr. Gustavo Fricke Fundación Cardiovascular Dr. Jorge Kaplan Meyer
Disección de aurícula izquierda
DOI: https://doi.org/10.35687/s2452-45492020003597

Published 2020-04-28

Keywords

How to Cite

1.
Quiroz F. M, Jara C. M, Novajas B. M. Repair of left auricular dissection. Rev Cir. [Internet]. 2020 Apr. 28 [cited 2026 Aug. 19];72(3). Available from: https://www.revistacirugia.cl/index.php/revistacirugia/article/view/597
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Abstract

Introduction: Left atrial dissection is an infrequent but potentially fatal complication of cardiac surgery. It is frequently associated with mitral valve surgery, both its repair and replacement, with an incidence of 0.16%. However, other procedures such as percutaneous interventions can also be predisposing factors.

Objectives: To report the surgical resolution of a left atrial dissection case and contribute to the national casuistry.

Materials and Method: Clinical, imaging and photographic record of the clinical episode.

Results: A patient who underwent retrograde radiofrequency ablation during the post-interventional period with heart failure and whose study identifies an atrial dissection. Mitral ring repair, subvalvular apparatus repair and pericardial patch was performed, the patient evolves with favorable clinical and sonographic evolution.

Discussion: The treatment of this entity should be analyzed case by case, the etiology related to percutaneous procedures is different to that caused by mitral valve surgery and this should be considered when choosing a therapeutic option.

Conclusion: Repairing an atrial dissection with a patch is a good alternative in these cases.

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