Left Atrium With Dysphagia:Case Report

Abstract Background: Left atrium in 27 to 38 mm is normal and over 80mm is called giant left atria. Giant left atria is mostly caused by rheumatic mitral valve regurgitation. Pain, dysphagia and reflux are the common symptoms. Case presentation: We report a case with dysphagia for the reason of rheumatic heart disease with left atrium enlargement. He also had difficulty swallowing, but never had an inability to eat. And further the inner diameter did not fit the standard of giant left atria, but there was obvious compressive symptom of the esophagus and severe stricture of the esophageal lumen. Conclusions: There are many reasons for dysphagia, which need to be analyzed on a case-by-case basis. The patient with dysphagia after eating is likely to be confused with an esophageal foreign body, and a careful history should be taken.

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Role of N-terminal propeptide of type I and type III procollagen (PINP and PIIINP) towards the severity degree of mitral valve regurgitation in children’s rheumatic heart disease (RHD)

10.1063/5.0052689 ◽

2021 ◽

Author(s):

Citra Tarannita ◽

Renny Suwarniaty ◽

Shahdevi Shahdevi ◽

Sanarto Santoso ◽

Hidayat Suyuti

Keyword(s):

Heart Disease ◽

Mitral Valve ◽

Rheumatic Heart Disease ◽

Mitral Valve Regurgitation ◽

Type I ◽

Valve Regurgitation ◽

Type Iii ◽

Rheumatic Heart ◽

Severity Degree

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Role of Carboxy Terminal Propeptide of Type I and Type III Procollagen (PICP and PIIICP) Toward the Severity Degree of Mitral Valve Regurgitation in Children’s Rheumatic Heart Disease

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2020.4798 ◽

2020 ◽

Vol 8 (B) ◽

pp. 802-806

Author(s):

Renny Suwarniaty ◽

Mohammad Saifur Rohman ◽

Tinny Endang Hernowati ◽

Wisnu Barlianto

Keyword(s):

Heart Disease ◽

Mitral Valve ◽

Rheumatic Heart Disease ◽

Regression Coefficient ◽

Mitral Valve Regurgitation ◽

Type I ◽

Valve Regurgitation ◽

Carboxy Terminal ◽

Rheumatic Heart

BACKGROUND: Rheumatic heart disease (RHD) is recognized as a heart disease that occurs as a result of sequelae in acute rheumatic fever (ARF), characterized by the occurrence of defects in the heart valves. The most common manifestation of childhood RHD is mitral regurgitation (MR). The role of inflammation and oxidative stress in RHD also involves several components consisting of carboxy-terminal pro-peptide of Type I procollagen (PICP) and carboxy-terminal pro-peptide of Type III procollagen (PIIICP). AIM: The aim of this study was to know whether PICP and PIIICP can be used to measure the severity level of mitral valve regurgitation. METHODS: This research is considered as descriptive-analytic research, and using cross-sectional analysis. Forty RHD patients underwent echocardiographic examinations to measure Wilkin and effective regurgitant orifice area scores. Patients were classified into ARF without valve abnormalities, mild, moderate, and severe MR. PICP and PIIICP were with ARF through venous blood and ELISA was examined. Data were analyzed by employing SPSS 22 with p = 0.05). Wilkins scores and PICP levels have a regression coefficient of 0.296 with a p-value of 0.032. RESULTS: There was a significant difference in PICP level among the studied sample groups with a p = 0.012, (p < 0.05), with insignificant difference in PIIICP level among sample groups with a p = 0.083, greater than α = 0.05 (p > 0.05). Wilkins scores and PICP level have a regression coefficient of 0.296 with a p = 0.032 (p < 0.05), while PIIICP level has a regression coefficient of 0.093 with a p = 0.568 (p > 0.05). CONCLUSION: There is no significant increase indicated on PIIICP level, but PICP level indicates a significant increase in RHD group with severe mitral valve abnormalities. PICP can be used to measure the severity level of mitral valve regurgitation.

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Mitral valve regurgitation and endocarditis triggered by a needle

BMC Cardiovascular Disorders ◽

10.1186/s12872-021-02109-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Chuanzhen Liu ◽

Yan Liu ◽

Jianhua Li ◽

Guangqing Cao

Keyword(s):

Mitral Valve ◽

Internal Structure ◽

Foreign Bodies ◽

Mitral Valve Regurgitation ◽

Associated Injuries ◽

Valve Regurgitation ◽

Inspection Method ◽

Case Presentation ◽

Accurate Judgment ◽

Surgical Preparation

Abstract Background Cardiac foreign bodies are extremely rare in clinical patients, especially when foreign bodies damage the internal structure of the heart coincidentally after they penetrate the heart. Case presentation Here, we report the case of a two-year-old girl whose heart was penetrated by a needle, which triggered mitral valve regurgitation and endocarditis. After a comprehensive inspection, accurate judgment and surgical preparation, we removed the needle and repaired her mitral valve. Fortunately, she recovered postoperatively. Conclusion From this case, we can know that when cardiac foreign bodies are suspected, ultrasound is an important inspection method. Moreover, the approaches for handling each such case are different depending on the associated injuries.

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Congenital Giant Left Atrium with Severe Mitral Valve Regurgitation

Sultan Qaboos University Medical Journal [SQUMJ] ◽

10.18295/squmj.2016.16.02.021 ◽

2016 ◽

Vol 16 (2) ◽

pp. e254-256 ◽

Cited By ~ 1

Author(s):

Khalfan S. Al-Senaidi ◽

Sunny Zakariya ◽

Saud S. Al-Shabibi ◽

Abdullah Al-Farqani ◽

Salim Al-Maskary

Keyword(s):

Mitral Valve ◽

Left Atrium ◽

Mitral Valve Regurgitation ◽

Valve Regurgitation ◽

Giant Left Atrium

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An abnormal left ventricular-atrial perforation after radiofrequency catheter ablation: a case report

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-019-1011-y ◽

2019 ◽

Vol 14 (1) ◽

Author(s):

Tingting Tao ◽

Junnan Zheng ◽

Hongfei Xu ◽

Yiming Ni

Keyword(s):

Catheter Ablation ◽

Mitral Valve ◽

Radiofrequency Catheter Ablation ◽

Surgical Repair ◽

Median Sternotomy ◽

Mitral Valve Regurgitation ◽

Left Ventricular ◽

Valve Regurgitation ◽

Case Presentation ◽

Complex Procedure

Abstract Background Cardiac radiofrequency ablation is a popular treatment for arrhythmias. However, it does have some complications, some of which are severe, even fatally. And there were limited reports on cardiac internal perforation after radiofrequency catheter ablation (RFCA) that required a surgical repair. Case presentation A 47-year-old male was admitted to our hospital due to chest congestion for 4 months. He received a radiofrequency catheter ablation (RFCA) 9 months prior to admission. On admission, an echocardiogram showed an abnormal perforation between the left ventricle and the left atrium with moderate mitral valve regurgitation. We therefore performed a mitral valve replacement (MVR) and fixed the abnormal atrial-ventricular breakage via median sternotomy. Conclusions Cardiac perforation is a severe complication of cardiac RFCA, operators should be extremely cautious to minimize radiofrequency associated perforations. Such a challenging and complex procedure should be deliberately considered by doctors and patients before implementation.

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