Giant left atrium 30years after surgical mitral valve replacement: An assessment of conservative therapy

2013 ◽  
Vol 166 (1) ◽  
pp. e6-e8 ◽  
Author(s):  
Carmine Biscione ◽  
Oriana Sergnese ◽  
Giovanni Battista Forleo ◽  
Marco Fabio Costantino ◽  
Pia Andreotta ◽  
...  
2018 ◽  
Vol 14 (1) ◽  
pp. 42-44
Author(s):  
Istiaq Ahmed ◽  
Sorower Hossain ◽  
Ankan Kumar Paul

A trans-thoracic echocardiography and chest radiograph of a 26 year old lady diagnosed as rheumatic mitral regurgitation with atrial fibrillation revealed a giant left atrium of 10.9 cm size with symptoms of dyspnoea and palpitation. The patient was treated with left atrial size reduction along with mitral valve replacement surgery and showed an excellent and quick recovery with total disappearance of symptoms and restoration of sinus rhythm only within few days.University Heart Journal Vol. 14, No. 1, Jan 2018; 42-44


1988 ◽  
Vol 2 (3) ◽  
pp. 151-159 ◽  
Author(s):  
G DIEUSANIO ◽  
R GREGORINI ◽  
A MAZZOLA ◽  
G CLEMENTI ◽  
B PROCACCINI ◽  
...  

2016 ◽  
Vol 9 (1) ◽  
pp. 73-74
Author(s):  
Jubayer Ahmad ◽  
Md Mokhlesur Rahman ◽  
Heemel Saha ◽  
Md Aftabuddin ◽  
Asit Baran Adhikary

A 52 year-old male patient of severe MS with mild MR with AF with a giant left atrium (LA size 70 mm) and history of CMC presented with symptoms. Giant left atrium is a condition characterized by huge enlargement of the left atrium with a diameter exceeding 65mm. It is most commonly associated with long standing rheumatic mitral valve disease. The patient underwent successful mitral valve replacement and removal of LA thrombus and discharged from hospital with adviceCardiovasc. j. 2016; 9(1): 73-74


1993 ◽  
Vol 8 (3) ◽  
pp. 365-370 ◽  
Author(s):  
Tadashi Isomura ◽  
Kouichi Hisatomi ◽  
Akio Hirano ◽  
Hiroshi Maruyama ◽  
Kenichi Kosuga ◽  
...  

2005 ◽  
Vol 13 (2) ◽  
pp. 107-111 ◽  
Author(s):  
Veysel Kutay ◽  
Kaan Kirali ◽  
Hasan Ekim ◽  
Cevat Yakut

The aim of this study was to evaluate the incidence of thromboembolic events in patients with giant left atrium (> 6.5 cm) after mitral valve replacement. From January 2000 to September 2002, a total of 126 patients who had undergone mitral valve replacement were divided into two groups according to the presence or absence of giant left atrium. Group A comprised 34 patients with left atrium over 6.5 cm without compression symptoms and Group B comprised 92 patients. The preoperative variables did not distinguish the patients in each group, except for atrial fibrillation; Group A 85.2% and Group B 61.9% (p < 0.01). After mitral valve replacement, left atrium mean diameter was significantly decreased in Group A from 8.1 ± 1.3 mm to 6.2 ± 1.6 mm ( p < 0.01). There were no significant differences in thrombosis, hemorrhage and thromboembolism rates in both groups. Postoperative clinical and hemodynamic parameters demonstrated a positive clinical response to mitral valve replacement in patients with giant left atrium. During follow-up no direct relationship between thromboembolism and giant left atrium was evident.


2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Hilal Erinanç ◽  
Murat Günday ◽  
Tonguç Saba ◽  
Mehmet Özülkü ◽  
Atilla Sezgin

A 58-year-old woman with a history of childhood acute rheumatic fever and resultant mitral valve stenosis was admitted to our cardiovascular surgery clinic complaining of tachycardia, dyspnea, and chest pain. After clinical and radiological findings were evaluated, mitral valve replacement, tricuspid De Vega annuloplasty and plication, and resection of giant left atrium were performed. Atrial thrombus was removed from the top of the left atrial wall. Operation material considered as thrombus was sent to a pathology laboratory for histopathological examination. It was diagnosed with mesothelial/monocytic incidental cardiac lesion (cardiac MICE). Microscopic sections revealed that morphological features of the lesion were different from thrombus. The lesion was composed of a cluster of histiocytoid cells with abundant cytoplasm and oval shaped nuclei and epithelial-like cells resembling mesothelial cells within a fibrin network. Epithelial-like cells formed a papillary configuration in the focal areas. Mitotic figures were absent. Here we present a case which was incidentally found in a patient who underwent mitral valve replacement surgery, as a thrombotic lesion on the left atrium wall.


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