Dextroversion due to giant left atrium in a child

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

Download Full-text

Giant left atrium and mitral valve replacement: risk factor analysis

European Journal of Cardio-Thoracic Surgery ◽

10.1016/1010-7940(88)90063-2 ◽

1988 ◽

Vol 2 (3) ◽

pp. 151-159 ◽

Cited By ~ 13

Author(s):

G DIEUSANIO ◽

R GREGORINI ◽

A MAZZOLA ◽

G CLEMENTI ◽

B PROCACCINI ◽

...

Keyword(s):

Factor Analysis ◽

Risk Factor ◽

Mitral Valve ◽

Left Atrium ◽

Valve Replacement ◽

Mitral Valve Replacement ◽

Risk Factor Analysis ◽

Giant Left Atrium

Download Full-text

Giant left atrium mimicking right heart failure

European Heart Journal ◽

10.1093/eurheartj/ehm515 ◽

2007 ◽

Vol 29 (8) ◽

pp. 1056-1056

Author(s):

C. Castrillo ◽

A. Ortiz Rivas ◽

José R. de Berrazueta

Keyword(s):

Heart Failure ◽

Left Atrium ◽

Right Heart Failure ◽

Right Heart ◽

Giant Left Atrium

Download Full-text

Giant left atrium in a woman with mitral prosthetic valve malfunction and history of rheumatic heart disease

Internal and Emergency Medicine ◽

10.1007/s11739-009-0280-1 ◽

2009 ◽

Vol 4 (5) ◽

pp. 435-437

Author(s):

Gaspare Parrinello ◽

Daniele Torres ◽

Salvatore Paterna ◽

Manuela Mezzero ◽

Pietro Di Pasquale ◽

...

Keyword(s):

Heart Disease ◽

Left Atrium ◽

Rheumatic Heart Disease ◽

Prosthetic Valve ◽

History Of ◽

Giant Left Atrium ◽

Valve Malfunction ◽

Rheumatic Heart

Download Full-text

Compressive Giant Left Atrium

The Annals of Thoracic Surgery ◽

10.1016/j.athoracsur.2018.01.042 ◽

2018 ◽

Vol 106 (1) ◽

pp. e41

Author(s):

Yalcin Velibey ◽

Sinan Sahin ◽

Tolga Sinan Guvenc ◽

Fatma Can ◽

Ozge Guzelburc

Keyword(s):

Left Atrium ◽

Giant Left Atrium

Download Full-text

A case report: cardiac dysphagia — a ghost of the past?

European Heart Journal - Case Reports ◽

10.1093/ehjcr/ytab338 ◽

2021 ◽

Author(s):

Céline Deschepper ◽

Daniel Devos ◽

Michel De Pauw

Keyword(s):

Mitral Valve ◽

Left Atrium ◽

Pressure Overload ◽

Developed Countries ◽

Extrinsic Compression ◽

Oesophagogastric Junction ◽

Atrial Remodelling ◽

History Of ◽

Giant Left Atrium ◽

Mitral Disease

Abstract Background Rheumatic heart disease has become rare in developed countries and physicians have grown unfamiliar with the disease and its clinical course. The mitral valve is most commonly affected leading to mitral regurgitation and/or stenosis. The chronic volume and/or pressure overload leads to atrial remodelling and enlargement, driving the development of atrial fibrillation and thromboembolic events. Case Summary A 87-year-old patient with a history of rheumatic mitral stenosis and mitral valve replacement was admitted to the neurology department for vertigo. A stroke was suspected and she underwent a transoesophageal echocardiogram which was complicated by dysphagia. Oesophageal manometry and CT revealed oesophagogastric junction outflow obstruction due to extrinsic compression by a giant left atrium. Discussion Dysphagia due to a giant left atrium is rare. Various diagnostic criteria exist and the prevalence thus depends on which criterium is used. It is mostly encountered in rheumatic mitral disease, although there are reports of non-rheumatic etiology. When the left atrium assumes giant proportions it can compress adjacent intrathoracic structures. Compression of the oesophagus can lead to dysphagia, as in our case. A transoesophageal echocardiogram in these cases is relatively contraindicated and should only be performed if there is considerable reason to believe that it may change patient management.

Download Full-text

A Patient with Giant Left Atrium Undergoes Orthotopic Heart Transplantation

Texas Heart Institute Journal ◽

10.14503/thij-12-2948 ◽

2014 ◽

Vol 41 (1) ◽

pp. 87-90 ◽

Cited By ~ 2

Author(s):

Sergey Y. Boldyrev ◽

Murat K. Lepshokov ◽

Igor I. Yakuba ◽

Kirill O. Barbukhatty ◽

Vladimir A. Porhanov

Keyword(s):

Left Atrium ◽

Left Atrial ◽

Left Atrial Volume ◽

Posterior Wall ◽

Orthotopic Heart Transplantation ◽

Mechanical Prosthesis ◽

Size Mismatch ◽

Giant Left Atrium ◽

Left Atrial Posterior ◽

Rheumatic Heart

We present a novel technique for resolving the problem of radical size mismatch at the time of orthotopic transplantation. A 48-year-old man presented with chronic rheumatic heart disease and a giant left atrium. Twenty-three years before, he had undergone mitral valve replacement with a mechanical prosthesis. At the time of the repeated intervention, the volume of his left atrium was 350 mL. Surgical features of the transplantation included approximation of the pulmonary vein ostia by gathering sutures intentionally, in order to decrease the area of the left atrial posterior wall and thereby enable appropriate coaptation with the donor left atrium. After the operation, left atrial volume had been reduced to 60 mL.

Download Full-text

PULMONARY EMPHYSEMA AND OTHER CARDIORESPIRATORY LESIONS AS PART OF THE MARFAN ABIOTROPHY

PEDIATRICS ◽

10.1542/peds.33.3.356 ◽

1964 ◽

Vol 33 (3) ◽

pp. 356-366

Author(s):

Robert P. Bolande ◽

Arthur S. Tucker

Keyword(s):

Connective Tissue ◽

Left Atrium ◽

Pulmonary Emphysema ◽

Left Lung ◽

Left Main ◽

Main Stem Bronchus ◽

Giant Left Atrium ◽

Left Main Stem Bronchus ◽

The Right ◽

Chronic Pulmonary Emphysema

Seven cases of Marfan's syndrome are reviewed clinically, radiologically, and pathologically. Six of the seven cases showed evidence of pulmonary dysaeration: (a) Two of the cases showed compression of the left main-stem bronchus by a giant left atrium with atelectasis of the left lung and compensatory emphysema of the right lung. (b) Two of the cases showed evidence of diffuse chronic pulmonary emphysema. Three cases had bilateral apical bullae. (c) One of the cases developed pneumothorax. The lungs of the children with the Marfan syndrome show precocious maturation of the elastic stroma of the alveolar septae. The pathogenesis of emphysema is discussed in relationship to the Marfan abiotrophy of connective tissue.

Download Full-text