scholarly journals Left Atrial Ball-Shaped Thrombus with Concomitant Biatrial Appendage Thrombi in a Patient with Prior Mitral Valve Replacement

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Kanako Akamatsu ◽  
Takahide Ito ◽  
Kazushi Sakane ◽  
Yumiko Kanzaki ◽  
Koichi Sohmiya ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Left Atrial ◽  
Atrial Appendage ◽  
Right Atrial ◽  
Replacement Surgery ◽  
History Of ◽  
Floating Ball ◽  
Right Atrial Appendage

We reported a 67-year-old woman in whom large atrial thrombi were found by chance during discontinuation of therapeutic anticoagulation. The patient, with a history of mitral valve replacement surgery, had stopped anticoagulation for months because of intractable gastrointestinal bleeding, during which she was found to have 3 large thrombi in the atria on transesophageal echocardiography: left atrial free-floating ball-shaped thrombus, left atrial appendage thrombus, and right atrial appendage thrombus. One month following diagnosis, she still had the free-floating thrombus despite adequate anticoagulation. Free-floating ball-shaped thrombus is a rare finding observed on echocardiography in patients with mitral valve disease and an even rarer finding in case of appendage thrombi coexisting.

scholarly journals A Giant Left Atrium due to Rheumatic Mitral Regurgitation, Outcome after Left Atrial Reduction Surgey with Mitral Valve Replacement

2018 ◽  
Vol 14 (1) ◽  
pp. 42-44
Author(s):  
Istiaq Ahmed ◽  
Sorower Hossain ◽  
Ankan Kumar Paul
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Left Atrium ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Left Atrial ◽  
Quick Recovery ◽  
Replacement Surgery ◽  
Atrial Size ◽  
Giant Left Atrium

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

Left atrial appendage exclusion is effective in reducing postoperative stroke after mitral valve replacement

2020 ◽  
Vol 35 (12) ◽  
pp. 3395-3402 ◽  
Author(s):  
Shengli Jiang ◽  
Huajun Zhang ◽  
Shixiong Wei ◽  
Lin Zhang ◽  
Zhiyun Gong ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Left Atrial ◽  
Left Atrial Appendage ◽  
Atrial Appendage ◽  
Postoperative Stroke

scholarly journals Simultaneous Percutaneous Closure of Left Atrial Appendage and Atrial Septal Defect After Mitral Valve Replacement

2016 ◽  
Vol 9 (13) ◽  
pp. e129-e130
Author(s):  
Ignacio Cruz-González ◽  
Juan C. Rama-Merchan ◽  
Javier Rodríguez-Collado ◽  
Javier Martín-Moreiras ◽  
Alejandro Diego-Nieto ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Atrial Septal Defect ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Left Atrial ◽  
Septal Defect ◽  
Left Atrial Appendage ◽  
Percutaneous Closure ◽  
Atrial Appendage

A Left Ventricle to Left Atrial Appendage Fistula After Mitral Valve Replacement

2018 ◽  
Vol 10 (5) ◽  
pp. 121-123
Author(s):  
Yafen Liang ◽  
Bantayehu Sileshi ◽  
Clayton A. Kaiser ◽  
Mias Pretorius ◽  
Andrew D. Shaw
Keyword(s):  
Mitral Valve ◽  
Left Ventricle ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Left Atrial ◽  
Left Atrial Appendage ◽  
Atrial Appendage

Oscillating left atrial appendage in a massive pericardial effusion due to severe paravalvular leakage after mitral valve replacement

2017 ◽  
Vol 72 (6) ◽  
pp. 689-690
Author(s):  
Mahmut Yesin ◽  
Macit Kalçık ◽  
Metin Çağdaş ◽  
Süleyman Karakoyun ◽  
Emrah Bayam ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Pericardial Effusion ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Left Atrial ◽  
Left Atrial Appendage ◽  
Atrial Appendage ◽  
Paravalvular Leakage

scholarly journals Comparison of P-Wave Duration and Dispersion in Mitral Valve Replacement Surgery Via Right Atrial Transseptal or Left Atrial Approach in Rheumatic Mitral Stenosis Patients

2020 ◽  
Vol 23 (2) ◽  
pp. E118-E122
Author(s):  
Hakan Gocer ◽  
Ahmet Baris Durukan ◽  
Ahmet Unlu ◽  
Mustafa Unal
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Wave Dispersion ◽  
P Wave ◽  
Right Atrial ◽  
P Wave Dispersion ◽  
Replacement Surgery ◽  
Right Atrial Approach ◽  
Group 1

Background: Predisposition to atrial fibrillation in mitral valve surgery has been well demonstrated. The changes in electrocardiographic parameters (Pmax, Pmin and P-wave dispersion) related to AF risk are unknown. We aimed to document the relationship between electrocardiographic changes and mitral valve replacement through right or left atrial surgical approaches. Methods: We retrospectively studied 154 patients, who underwent mitral valve replacement surgery from 2008 to 2018. Seventy-nine patients were operated with right atriotomy and transseptal approach (Group 1), and 75 patents were operated with left atriotomy (Group 2). ECGs obtained at hospital admittance and postoperatively at 24 hours were blindly analyzed. Results: Preoperative demographic characteristics were similar. Pmax, Pmin and P-wave dispersion were similar preoperatively. All parameters increased in both groups compared with the preoperative values (P < .05). Postoperative Pmax, Pmin and P-wave dispersion all were statistically significantly higher with the right atrial approach (P < .05). Postoperative AF also was more common in Group 1 (P < .05). Conclusion: Right atrial approach may lead to higher P-wave changes and atrial arrhythmias. This may be due to more extensive surgical disruption. The changes in atrial anatomic structure can increase atrial arrhythmic propensity and can cause atrial fibrillation.

A Left Ventricle to Left Atrial Appendage Fistula After Mitral Valve Replacement

2017 ◽  
pp. 1
Author(s):  
Yafen Liang ◽  
Bantayehu Sileshi ◽  
Clayton A. Kaiser ◽  
Mias Pretorius ◽  
Andrew D. Shaw
Keyword(s):  
Mitral Valve ◽  
Left Ventricle ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Left Atrial ◽  
Left Atrial Appendage ◽  
Atrial Appendage

Redo mitral valve replacement using valve-on-valve technique in a patient with severe posterior mitral annular calcification

2021 ◽  
Vol 14 (7) ◽  
pp. e243527
Author(s):  
Adil H Al Kindi ◽  
Ahmed Fahmy Mandisha ◽  
Mohamed Hammam ◽  
AbdelMaged Salem
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Bioprosthetic Valve ◽  
Patch Repair ◽  
Redo Surgery ◽  
Replacement Surgery ◽  
Coronary Artery Injury ◽  
History Of ◽  
Pericardial Patch Repair

Redo mitral valve replacement surgery due to bioprosthetic valve failure can carry serious surgical challenges. In addition to the usual redo sternotomy risk, there is risk of circumflex coronary artery injury or atrioventricular disruption from explanting the prosthesis. Alternatives to prosthesis explantation may be needed in some cases.We report a case of mitral bioprosthetic valve failure in a young patient who had a history of atrioventricular disruption during the first surgery and had pericardial patch repair of the defect. The risk of explanting the bioprosthesis during redo surgery was very high. Therefore, we performed valve replacement using valve-on-valve technique in which the new valve is implanted within the sewing ring of the previous bioprosthesis without explanting the valve. This technique converted a very highly futile surgery to a conventional redo surgery risk. The patient had a successful surgery with no intraoperative or postoperative complications.

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