Why the study?
Left atrial dissection is a rare cardiac surgery complication with variable clinical presentation, and optimal management remains uncertain.
Does conservative management allow for spontaneous resolution of left atrial dissection in a hemodynamically stable patient?
Population
A 76-year-old woman with left atrial dissection after mitral valve replacement and endoatriectomy
Design
Case report
Follow-up
6 months
Key result
Conservative management of left atrial dissection following mitral valve replacement resulted in complete spontaneous resolution of the false lumen at 6 months.
Authors
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May support conservative management with serial imaging in stable cases; leaves open need for prospective data.
Case Report (n=1)
Does conservative management allow for spontaneous resolution of left atrial dissection in a hemodynamically stable patient?
Conservative management with serial imaging may be an appropriate strategy for hemodynamically stable patients with left atrial dissection following mitral valve surgery.
Choi et al. (2026) conducted a case report in Left atrial dissection (n=1). Conservative management was evaluated on Resolution of false lumen. Conservative management of left atrial dissection following mitral valve replacement resulted in complete spontaneous resolution of the false lumen at 6 months.