Key result
Transesophageal echocardiography guides prompt management of rare, largely iatrogenic atrial wall dissections.
Why the study?
Despite its clinical relevance and potentially life-threatening sequelae, atrial wall dissection remains an under-recognized and poorly understood condition in clinical practice.
This comprehensive review highlights that atrial wall dissection is an under-recognized, primarily iatrogenic condition requiring prompt diagnosis with transoesophageal echocardiography to guide appropriate decision-making and prevent life-threatening hemodynamic collapse.
Despite its clinical relevance and potentially life-threatening sequelae, atrial wall dissection remains an under-recognized and poorly understood condition in clinical practice. This review aims to provide a comprehensive and updated overview of atrial wall dissection focusing on the definition, etiopathogenesis, diagnostic work-up, and management of this uncommon entity. Regardless of the wide-ranging etiology, dissection sites, and clinical manifestations, physicians must be aware of such a rare finding to ensure a timely diagnosis and prompt identification of subjects with an unstable hemodynamic profile. This makes it possible to adopt the most appropriate decision-making strategy and therapeutic approach.
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Scagliola et al. (2026) conducted a review in Atrial wall dissection. Diagnostic and therapeutic management was evaluated. Atrial wall dissection is a rare, potentially life-threatening condition primarily caused by iatrogenic injuries, requiring prompt diagnosis with transesophageal echocardiography to guide surgical or conservative management.
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