Left atrial intramural haematoma—a rare complication following radiofrequency ablation of atrial fibrillation: a case report

Left atrial intramural haematoma can occur following left atrial RFA. Diagnosis relies on multimodality imaging, including echocardiogram and computed tomography. Furthermore, intra-procedural mapping abnormalities, such as a large low-voltage area, may indicate an evolving complication. Early recognition of this rare but potentially life-threatening complication can guide prompt and appropriate management. In stable patients, close clinical and imaging follow-up is appropriate, as shown in our case. In severe cases with haemodynamic compromise, urgent surgical intervention may be required.