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Spontaneous Left atrial intramural multiseptated dissecting hematoma
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  • Vinayak Vadgaonkar,
  • Nooraldaem Yousif,
  • Shriram Sabde,
  • Salman Slais,
  • Abdullah Darwish,
  • Habib Tareif,
  • Leena Sulaibikh
Vinayak Vadgaonkar
Bahrain Defense Force Hospital
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Nooraldaem Yousif
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Shriram Sabde
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Salman Slais
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Abdullah Darwish
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Habib Tareif
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Leena Sulaibikh
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Abstract

Our case was initially admitted with presumptive diagnosis of Non-ST elevated myocardial infarction in congestive heart failure and was later found to have large left atrial (LA) mass. Apart from complete echocardiography study, we took help of multimodality imaging to better characterise this LA mass.However we did not have a confirmed diagnosis. Cardiac surgery was performed and surprisingly revealed large LA mass with pockets of fresh blood inside LA. Pathological specimen confirmed the presence of hematoma ruling out other atrial neoplasms. Though contrast echocardiography and cardiac magnetic resonance imaging were closest to intra-operative diagnoses, In the absence of any pre-disposing factors, final diagnosis was made at surgery and histopathological diagnosis.

Peer review status:ACCEPTED

11 Jun 2020Submitted to Echocardiography
15 Jun 2020Submission Checks Completed
15 Jun 2020Assigned to Editor
16 Jun 2020Reviewer(s) Assigned
21 Jul 2020Review(s) Completed, Editorial Evaluation Pending
21 Jul 2020Editorial Decision: Revise Minor
29 Jul 20201st Revision Received
30 Jul 2020Submission Checks Completed
30 Jul 2020Assigned to Editor
30 Jul 2020Reviewer(s) Assigned
16 Aug 2020Review(s) Completed, Editorial Evaluation Pending
16 Aug 2020Editorial Decision: Accept