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Case Reports
. 2023 Jan 24;15(1):e34138.
doi: 10.7759/cureus.34138. eCollection 2023 Jan.

Bleeding From Left Atrial Appendage During Atrial Septal Defect Closure Through Right Anterolateral Thoracotomy: An Unusual Complication

Satyapriya Mohanty  1 , Arvind Pandey  2 , Firdoos Ahmad Mir  3 , Anindya Banerjee  4 , Debasish Das  4
Affiliations
Case Reports

Bleeding From Left Atrial Appendage During Atrial Septal Defect Closure Through Right Anterolateral Thoracotomy: An Unusual Complication

Satyapriya Mohanty et al. Cureus. .

Abstract

Anterolateral thoracotomy is frequently used for the closure of ostium secundum atrial septal defect (ASD). The cosmetic result has become an important feature. There are various complications of anterolateral thoracotomy like persistent postoperative pain, phrenic nerve injury, atelectasis, and bleeding. We report a case of ASD closure through anterolateral thoracotomy who had bleeding of the left atrial appendage (LAA), which is an unusual and rare complication.

Keywords: atrial septal defect; bleeding; left atrial appendage; phrenic nerve injury; surgery.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Post-operative image of the right anterolateral thoracotomy incision for left atrial appendage rupture closure with pleural and pericardial drain, and second intercostal space incision for insertion of Chitwood clamp.
Figure 2
Figure 2. Conventional straight aortic cross-clamp
Figure 3
Figure 3. Chitwood aortic clamp
Image created by the authors
Figure 4
Figure 4. Cooley atraumatic vascular clamp
Image created by the authors
See this image and copyright information in PMC

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