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Left atrial dissection associated with disruption of mitral annular calcification: a case report.


ABSTRACT:

Background

Left atrial dissection is an uncommon entity associated with cardiac surgery, catheter interventional procedures, or cardiac trauma. Spontaneous cases have also been reported. The entry of left atrial dissection often occurs in the posterior annulus of the mitral valve, which is also a favourable site for mitral annular calcification (MAC). We herein report a rare case of spontaneous left atrial dissection caused by a disruption of MAC.

Case summary

An 84-year-old woman was admitted to our hospital for chest discomfort. Transthoracic echocardiography showed severe calcification of the posterior mitral annulus and a heterogeneous mass in the posterior wall of the left atrium adjacent to MAC. Transoesophageal echocardiography showed blood flow through MAC from the l

SUBMITTER: Isonaga Y 

PROVIDER: S-EPMC9026208 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature