Cor Vasa 2019, 61(1):76-78 | DOI: 10.1016/j.crvasa.2018.02.009

(Infarction of the left atrium resulting in its rupture)

Ondřej Kučerkaa, Pavel Sedloňa, Eva Traboulsib, Martin Malýc
a Jednotka intenzivní péče, Interní klinika, 1. lékařská fakulta Univerzity Karlovy a Ústřední vojenská nemocnice - Vojenská fakultní nemocnice, Praha
b Oddělení patologie, Ústřední vojenská nemocnice - Vojenská fakultní nemocnice, Praha
c Kardiologické oddělení, Interní klinika, 1. lékařská fakulta Univerzity Karlovy a Ústřední vojenská nemocnice - Vojenská fakultní nemocnice, Praha

Although atrial myocardial infarction is an entity that has been reported for decades, it is frequently neglected in clinical practice. Isolated infarction of an atrium is rare, usually occurring concomitantly with ventricular myocardial infarction. The major complications of atrial infarction are cardiac arrhythmias, thromboembolization and atrial rupture. We report an 84-year-old male patient with left atrial rupture following subacute inferolateral STEMI and left atrial infarction.

Keywords: Atrial infarction, Atrial rupture, Electrocardiogram, PR displacement, P wave

Published: March 21, 2019  Show citation

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Kučerka O, Sedloň P, Traboulsi E, Malý M. (Infarction of the left atrium resulting in its rupture). Cor Vasa. 2019;61(1):76-78. doi: 10.1016/j.crvasa.2018.02.009.
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References

  1. Clerc A, Levy R. Infarctus auriculaire: tachyarrhythmia terminale. Bull Mem Soc Med Hop Paris 1925;41:1603-1607.
  2. Ventura T, Colantonio D, Leocata P, et al. Isolated atrial myocardial infarction: pathological and clinical features in 10 cases. Cardiologia 1991;36:345-350. Go to PubMed...
  3. Lu MLR, De Venecia T, Patnaik S, Figueredo VM. Atrial myocardial infarction: A tale of the forgotten chamber. Int J Cardiol 2016;202:904-909. Go to original source... Go to PubMed...
  4. Nerantzis CE, Toutouzas P, Avgoustakis D. The importance of the sinus node artery in the blood supply of the atrial myocardium. An anatomical study of 360 cases. Acta Cardiol 1983;38:35-47.
  5. Tjandrawidjaja MC, Fu Y, Kim DH, et al. Compromised atrial coronary anatomy is associated with atrial arrhythmias and atrioventricular block complicating acute myocardial infarction. J Electrocardiol 2005;38:271-278. Go to original source... Go to PubMed...
  6. Gardin JM, Singer DH. Atrial infarction: importance, diagnosis and localization. Arch Intern Med 1981;141:1345-1348. Go to original source...
  7. Nielsen FE, Andersen HH, Gram-Hansen P, et al. The relationship between ECG signs of atrial infarction and the development of supraventricular arrhythmias in patients with acute myocardial infarction. Am Heart J 1992;123:69-72. Go to original source... Go to PubMed...
  8. Liu CK, Greenspan G, Piccirillo RT. Atrial infarction of the heart. Circulation 1961;23:331-338. Go to original source...
  9. Burch GE. Of the P-R segment depression and atrial infarction. Am Heart J 1976;91:129-130. Go to original source... Go to PubMed...
  10. Vargas-Barrón J, Espinola-Zavaleta N, Romero-Cárdenas A, et al. Clinical-Echocardiographic Correlation of Myocardial Infarction with Extension to Right Chambers. Echocardiography 1998;15:171-180. Go to original source... Go to PubMed...
  11. Sasaki T, Matsuzaki M, Anno Y, et al. [Diagnosis of right atrial infarction by esophageal echocardiography]. J Cardiogr 1982;12:595-604.
  12. Neven K, Crijns H, Gorgels A. Atrial infarction: a neglected electrocardiographic sign with important clinical implications. J Cardiovasc Electrophysiol 2003;14:306-308. Go to original source... Go to PubMed...

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