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Ann Thorac Surg 2001;72:2132-2134
© 2001 The Society of Thoracic Surgeons

Case report

Spontaneous intramural left atrial hematoma associated with systemic amyloidosis

Ko Watanabe, MD*a, Bruno Miguel, MDa, Jean L. Kemeny, MDa, Bernard Citron, MDa, Lionel F. Camilleri, MDa

a Department of Cardiovascular Surgery, Pr Charles de Riberolles, Gabriel Montpied University Hospital, Clermont-Ferrand, France

Accepted for publication February 3, 2001.

* Address reprint requests to Dr Watanabe, Chirurgie Cardio-Vasculaire, Hôpital Gabriel Montpied, Place Henri Dunant, BP 69, F-63003 Clermont-Ferrand Cedex 1, France
e-mail: bmiguel{at}chu-clermontferrand.fr

Spontaneous intramural left atrial hematoma is very rare. We describe a case of spontaneous intramural left atrial hematoma that had to be semiurgently resected. Postoperatively, the patient was diagnosed as having systemic immunocyte-derived (AL) amyloidosis, because of rare manifestations of fatal bleeding. Though spontaneous intramural left atrial hematoma is one of the severe complications of systemic AL amyloidosis, we believe that amyloid deposits caused fragility of the left atrial wall.




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