scholarly journals Case of giant left atrium from congestive heart failure

2018 ◽  
pp. bcr-2018-226043
Author(s):  
Michael Z Grzeskowiak ◽  
Navid Ahmed
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Left Atrium ◽  
Giant Left Atrium

scholarly journals Giant left atrium mimicking right heart failure

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

scholarly journals Hot balloon ablation of persistent atrial fibrillation with a dilated left atrium in a case of dilated cardiomyopathy

2017 ◽  
Vol 4 (2) ◽  
pp. 28
Author(s):  
Ayako Okada ◽  
Morio Shoda ◽  
Takahiro Takeuchi ◽  
Ken Kato ◽  
Wataru Shoin ◽  
...  
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Congestive Heart Failure ◽  
Dilated Cardiomyopathy ◽  
Left Atrium ◽  
Persistent Atrial Fibrillation ◽  
Left Ventricular Ejection ◽  
Lv Dysfunction ◽  
Intravenous Drip ◽  
Balloon Ablation

A 70-year-old man who developed dilated cardiomyopathy with persistent atrial fibrillation (PSAF) was admitted to our hospital. He was already drug-resistant. The left atrium (LA) was severely enlarged. The left ventricular ejection fraction (LVEF) was 39%, and contraction was severely reduced. For AF ablation, catheter ablation (CA) was used for mild to moderate LV dysfunction without severe left atrial dilatation. In severe LV dysfunction, excessive intravenous drip volume may precipitate congestive heart failure. On the other hand, shorter isolation time has been reported with balloon ablation as compared to CA. Therefore, the intravenous drip volume is small. We planned to use the balloon technique for a patient with LA dilatation and severe LV dysfunction despite another hospital not having done so. After the procedure, the pulmonary veins were successfully isolated, and congestive heart failure recovered after sinus rhythm termination. There was no recurrence of AF after the procedure. Hot balloon ablation can be effective for PSAF with severe heart failure.

Tangential Triangular Resection An Option to Treat the Giant Left Atrium

2010 ◽  
Vol 5 (2) ◽  
pp. 125-127
Author(s):  
Pablo M. A. Pomerantzeff ◽  
Carlos M. A. Brandão ◽  
Marco A. V. Guedes ◽  
Noedir A. G. Stolf
Keyword(s):  
Heart Failure ◽  
Magnetic Resonance ◽  
Left Atrium ◽  
Pulmonary Veins ◽  
Posterior Wall ◽  
Magnetic Resonance Study ◽  
Tricuspid Insufficiency ◽  
Size Evolution ◽  
Giant Left Atrium ◽  
Left Atrium Size

A 21-year-old woman presented with congestive heart failure caused by congenital mitral and tricuspid insufficiency, associated with great left atrium enlargement. Transthoracic echo-cardiogram revealed heart dextroversion associated with mitral and tricuspid severe insufficiency and left atrium enlargement (14 cm), confirmed by magnetic resonance study. The left atrium was reduced by a tangential triangular resection of the posterior wall, between the pulmonary veins, suturing the edges of the left atrium with bovine pericardium strip reinforcement. Mitral and tricuspid valves were repaired. The postoperative course was uneventful, and the patient was discharged in the 15th postoperative day. A control magnetic resonance study revealed a 50% reduction in left atrium size. Evolution of left atrium resection is excellent, with low recurrence of arrhythmias, embolism, or heart failure.

Ruptured aortic dissection into the left atrium: A rare cause of congestive heart failure

1991 ◽  
Vol 121 (3) ◽  
pp. 936-938 ◽  
Author(s):  
J.Samuel M. Oliveira ◽  
Reinaldo B. Bestetti ◽  
JoséAntonio Marin-Neto ◽  
Roberto Silva Costa ◽  
João José Carneiro
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Aortic Dissection ◽  
Left Atrium

scholarly journals Acute heart failure due to giant left atrium: remote ECLS implantation for interhospital transfer and bridging to decision

2018 ◽  
Vol 3 (4) ◽  
pp. 285-288
Author(s):  
Hazem El Beyrouti ◽  
Martin Oberhoffer ◽  
Angela Kornberger ◽  
Andres Beiras-Fernandez ◽  
Christian-Friedrich Vahl
Keyword(s):  
Heart Failure ◽  
Case Report ◽  
Left Atrium ◽  
Acute Heart Failure ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Refractory Heart Failure ◽  
Interhospital Transfer ◽  
Specialized Care ◽  
Giant Left Atrium

AbstractBackgroundRemote extracorporeal life support (ECLS) implantation and mobile ECLS are increasingly applied to enable the treatment of patients with refractory heart failure at specialized care centers. Giant left atrium (GLA) is a rare cause but may lead to acute and devastating heart failure.Case reportAcute heart failure that gave rise to a prolonged period of out-of-hospital cardiopulmonary resuscitation in a patient who underwent remote ECLS implantation was found to have resulted from a GLA of impressive dimensions. There having no reasonable option for immediate surgical therapy, the patient was successfully bridged to recovery with a view to subsequent heart transplantation.ConclusionsThe threshold to rapid institution of ECLS should be low in patients with acute refractory heart failure, including those with uncommon pathologies. Remote ECLS implantation and interhospital transfer on mobile ECLS increase the chances of survival in cases requiring treatment by specialized care centers.

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