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Left Atrial Mass Causing Obstruction After Retransplantation: Case Report and Surgical Technique
Authors:P.O. Dionne  C. Ayoub  L.P. Perrault  M. Carrier
Affiliation:1. Research Centre, Montreal Heart Institute, University of Montreal, Montreal, Quebec, Canada;2. Department of Surgery, Montreal Heart Institute, University of Montreal, Montreal, Quebec, Canada;3. Department of Anesthesiology, Montreal Heart Institute, University of Montreal, Montreal, Quebec, Canada
Abstract:

Background

We describe the case of a 57-year-old woman who developed right heart failure after a second orthotopic bicaval cardiac transplant.

Case Report

Perioperative transesophageal echocardiogram showed a left atrial mass consisting of redundant tissue at the atrial suture line in the left atrium that did not have a significant hemodynamic effect under general anesthesia.

Conclusions

After discharge from the intensive care unit, she developed right heart failure that required excision and left atrial patch augmentation.
Keywords:
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