This case demonstrates that left atrial dissection can occur as a rare, severe complication of aggressive cardiopulmonary resuscitation, which can be identified using 3D transesophageal echocardiography.
May indicate left atrial dissection risk after aggressive CPR; leaves open prospective evaluation of 3D TEE utility.
Left atrial dissection (LatD) is a relatively rare perioperative complication during mitral valve repair. Here, we report a 64-year-old man who developed LatD after cardiopulmonary resuscitation was needed due to an extensive myocardial infarction. Aggressive cardiac massage resulted in cardiac rupture and massive bloody pleura effusion. Intraoperative three-dimensional transesophageal echocardiography revealed posterior-medial papillary muscle ruptured and separation of the endocardium from the left atrial myocardium. We speculate that this is the first report in the literature of LatD after cardiopulmonary cerebral resuscitation.
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Lin et al. (2015) studied this question.
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