Left atrial dissection and intramural hematoma after aortic valve replacement.

Fig 1. LA dissection, left ventricle (LV), LVOT, and aorta (Ao) are visualized in the midesophageal long-axis view after the first AVR. The LA is compressed by the intramural hematoma (white arrows) leading to hypotension. The image is recorded in the process of re-establishing cardiopulmonary bypass. (Color version of figure is available online.)

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