scholarly journals Giant left atrium with left lung damage: a case report

2018 ◽  
Vol 46 (11) ◽  
pp. 4821-4824
Author(s):  
Mingfeng Yang ◽  
Lan Zhang
Keyword(s):  
Left Atrium ◽  
Thrombus Formation ◽  
Main Bronchus ◽  
Left Lung ◽  
Lung Damage ◽  
Cardiac Complications ◽  
Mitral Insufficiency ◽  
Difficulty Breathing ◽  
Chief Complaints ◽  
Giant Left Atrium

Giant left atrium is most commonly associated with rheumatic mitral valve disease, causing a series of cardiac and extracardiac complications. Cardiac complications are often reported, such as atrial fibrillation, decreased cardiac output, and atrial thrombus formation. Extracardiac complications are rarely described in the literature. We report an unusual case of a 55-year-old woman who was diagnosed with rheumatic heart disease 20 years earlier. Her chief complaints were episodes of chest tightness and difficulty breathing, which she had for more than 30 years. Echocardiography showed severe mitral stenosis with severe mitral insufficiency. Contrast-enhanced chest CT showed that the left thoracic cavity was occupied by a giant left atrium. The left main bronchus was compressed, and the left lung showed complete consolidation without pulmonary function.

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

PEDIATRICS ◽  
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.

scholarly journals Giant left atrium associated with massive thrombus formation

2013 ◽  
Vol 11 (1) ◽  
pp. 5 ◽  
Author(s):  
Ahmad K Darwazah ◽  
Hamdy El Sayed
Keyword(s):  
Left Atrium ◽  
Thrombus Formation ◽  
Giant Left Atrium

Management of massive thrombus formation in a giant left atrium

2017 ◽  
Vol 32 (4) ◽  
pp. 262-263 ◽  
Author(s):  
Noell Fasol ◽  
Berit Bode ◽  
Xue Li ◽  
Anneli Seppälä-Lindroos ◽  
Roland Fasol
Keyword(s):  
Left Atrium ◽  
Thrombus Formation ◽  
Giant Left Atrium

Recurrent Left Lung Collapse Caused by Giant Left Atrium

CHEST Journal ◽  
2004 ◽  
Vol 126 (4) ◽  
pp. 932S ◽  
Author(s):  
Ghee Chee Phua ◽  
Philip Eng ◽  
S.L. Lim ◽  
Y.L. Chua
Keyword(s):  
Left Atrium ◽  
Left Lung ◽  
Lung Collapse ◽  
Giant Left Atrium

scholarly journals Giant Left Atrium Associated with Massive Thrombus Formation 14 Years after Orthotopic Heart Transplantation

2020 ◽  
Vol 35 (6) ◽  
Author(s):  
Krzysztof Bartus ◽  
Radoslaw Litwinowicz ◽  
Boguslaw Kapelak ◽  
Grzegorz Filip ◽  
Karol Wierzbicki ◽  
...  
Keyword(s):  
Heart Transplantation ◽  
Left Atrium ◽  
Thrombus Formation ◽  
Orthotopic Heart Transplantation ◽  
Giant Left Atrium

scholarly journals Surgical management of a giant left atrium

2009 ◽  
Vol 15 (5) ◽  
pp. 555-558
Author(s):  
A. V. Gurschenkov ◽  
M. L. Gordeev
Keyword(s):  
Risk Factor ◽  
Left Atrium ◽  
Left Atrial ◽  
Surgical Intervention ◽  
Main Bronchus ◽  
Left Atrial Volume ◽  
Atrial Volume ◽  
Careful Evaluation ◽  
Left Atrial Diameter ◽  
Giant Left Atrium

Giant left atrium is a condition defined when the left atrial diameter exceeds 60-65 mm. It is commonly associated with mitral valve disease due to excess intracavitary pressure resulting in strain and dilation of the left atrial chamber. The enlarged left atrium leads to expansion of the left atrial volume that leads to the pressure increase in the main bronchus, lung and right ventricle with corresponding cardiopulmonary failure. As giant left atrium is a risk factor of sudden death, its existence merits careful evaluation and surgical intervention.

scholarly journals Late presentation of unilateral lung agenesis in adulthood

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Arshed Hussain Parry ◽  
Mujahed Abdulsattar Ibrahim Raheem ◽  
Hussam Hassan Ismail ◽  
Osama Sharaf
Keyword(s):  
Main Bronchus ◽  
Left Lung ◽  
Left Hemithorax ◽  
Late Adulthood ◽  
Pulmonary Agenesis ◽  
Opaque Hemithorax ◽  
Dismal Prognosis ◽  
Mediastinal Shift ◽  
Lung Agenesis ◽  
Unilateral Pulmonary Agenesis

Abstract Background Pulmonary agenesis is a rare congenital anomaly with a reported prevalence of about 1 in 100,000 births. It may be bilateral or unilateral. Among the unilateral form, left lung agenesis is more common (70%); however, it is the right lung agenesis which carries a dismal prognosis due to the frequent association with a gamut of other congenital anomalies and greater degree of mediastinal shift leading to tracheo-bronchial and vascular distortion. The patients of unilateral pulmonary agenesis usually present in infancy or early childhood. Presentation in late adulthood as seen in our patient is rare. We present a case of left pulmonary agenesis that was diagnosed in 4th decade of life. Case presentation A 36-year-old male presented with gradually progressive exertional dyspnea of 1 month duration. Clinical examination revealed tachycardia and tachypnea. Chest radiograph showed opaque left hemithorax with ipsilateral mediastinal shift. Computed tomography clinched the diagnosis by demonstrating absence of left main bronchus, lung and left pulmonary artery with shift of heart, and great mediastinal vessels into left hemithorax. The patient was managed conservatively and discharged with attachment to out-patient department for regular follow-up. Conclusion Presentation of unilateral lung agenesis in late adulthood, as seen in the present case is extremely rare. This case report highlights that, a rare condition like unilateral pulmonary agenesis, should be considered in the list of differentials in an adult presenting with opaque hemithorax with ipsilateral mediastinal shift on radiography.

scholarly journals MITRAL INSUFFICIENCY WITH COMPRESSION OF THE LEFT MAIN BRONCHUS TREATED BY OPEN-HEART SURGERY

1959 ◽  
Vol 37 (3) ◽  
pp. 320-324
Author(s):  
David R. Murphy ◽  
Anthony R.C. Dobell ◽  
Gordon M. Karn ◽  
James E. Gibbons
Keyword(s):  
Heart Surgery ◽  
Main Bronchus ◽  
Open Heart Surgery ◽  
Left Main Bronchus ◽  
Mitral Insufficiency ◽  
Open Heart ◽  
Left Main

scholarly journals Specific airway management for SVC replacement during giant anterior mediastinal tumor resection

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Izumi Kawagoe ◽  
Daizoh Satoh ◽  
Chieko Mitaka ◽  
Masataka Fukuda ◽  
Tsukasa Kochiyama ◽  
...  
Keyword(s):  
Mediastinal Tumor ◽  
Main Bronchus ◽  
Superior Vena ◽  
Tumor Resection ◽  
Left Lung ◽  
Vena Cava ◽  
Double Lumen Tube ◽  
Lower Airway ◽  
Tumor Spread ◽  
Anterior Mediastinal Tumor

Abstract Background Giant anterior mediastinal tumor (GAMT) resection is a challenging procedure, for which anesthesiologist might take to need special precautions. Case presentation A 48-year-old male patient had been scheduled to undergo GAMT resection and superior vena cava (SVC) replacement. The tumor spread surrounding SVC and left main bronchus (LMB), resulting in small volume of his left lung. A soft left-sided double lumen tube (DLT) was selected to keep the patency of LMB during left one lung ventilation (OLV) against the tumor weight. Semi-awake intubation with spontaneous breathing was selected for DLT insertion to avoid lower airway occlusion. During left OLV after right open thoracotomy, his SPO2 decreased below to 90%. We performed selective right upper lobe bronchial blockade using the combination of DLT and bronchial blocker. The surgery was successfully completed with this strategy. Conclusions Although such cases are rare, they are informative for anesthesiologists, providing optional strategies.

scholarly journals Giant Left Atrium in Rheumatic Heart Disease

1971 ◽  
Vol 174 (2) ◽  
pp. 194-201 ◽  
Author(s):  
J. PLASCHKES ◽  
J. B. BORMAN ◽  
G. MERIN ◽  
H. MILWIDSKY
Keyword(s):  
Heart Disease ◽  
Left Atrium ◽  
Rheumatic Heart Disease ◽  
Giant Left Atrium ◽  
Rheumatic Heart
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