Conservative Management and 1-Year Follow-Up of a Huge Left Atrial Intramural Hematoma Related to an Epicardial Collateral Perforation During a Chronic Total Occlusion Percutaneous Coronary Intervention

Talanas, Giuseppe; Garbo, Roberto; Nusdeo, Giuseppe; Sanna, Giuseppe D; Bilotta, Ferruccio; Parodi, Guido

doi:10.1016/j.jcin.2018.09.028

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“…In terms of management, most cases may be treated conservatively with anticoagulation if the patient is hemodynamically stable. 18,19 However, in our patient, anticoagulation was not given because of associated pericardial effusion, which could have led to bleeding into the pericardial space with potential tamponade. Fortunately, our patient made a full recovery and was doing well at 1-year follow-up.…”

Section: Discussionmentioning

confidence: 84%

A Rare Cause of Left Atrial Mass

Seghatol-Eslami

Farris

Chapman

et al. 2020

CASE

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Section: Discussionmentioning

confidence: 84%

A Rare Cause of Left Atrial Mass

Seghatol-Eslami

Farris

Chapman

et al. 2020

CASE

View full text Add to dashboard Cite

show abstract

Challenges in the diagnosis and management of dry tamponade

Tiwana,

Kearney,

Lombardi

et al. 2024

Cathet Cardio Intervent

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Dry tamponade is a rare complication of percutaneous coronary intervention. It encompasses a heterogenous pathophysiology and is used to describe hemodynamic compromise secondary to a coronary artery perforation, without free‐flowing fluid in the pericardium. Tamponade physiology can result from compressive epicardial, intramyocardial, subepicardial hematomas, or dissecting intramyocardial hematomas. The diagnosis of dry tamponade requires hemodynamic derangement in the context of a compressive hematoma as demonstrated by imaging. Although echocardiography can often help identify dry tamponade, additional studies including right heart catheterization, computed tomography, or cardiac magnetic resonance imaging can inform the exact mechanism and help guide management. This article describes a case of dry tamponade, reviews the existing literature on the topic, and offers expert recommendations on diagnosis and management.

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