scholarly journals Severe mitral stenosis with giant LA with LA thrombus - A case report

2018 ◽  
Vol 33 (2) ◽  
pp. 141-144
Author(s):  
Asraful Hoque ◽  
Shahriar Moinuddin ◽  
Md Monzur Hossain ◽  
Ahsanara Binte Ahmed ◽  
Ashfaq Nazmi ◽  
...  

Excess dilatation of the left atrium >60 mm is known in the literature as a gigantic atrium. This dilation is most commonly encountered in the mitral insufficiency of rheumatic etiology, but also in severe prolapses of the mitral valve, permanent atrial fibrillation, and at the leftright shunt with cardiac insufficiency. In this paper, we presented a case study of severe mitral stenosis with giant LA with LA thrombus in a 42 years old female patient. The patient underwent successful mitral valve replacement and removal of LA thrombus and discharged from the hospital with advice. Bangladesh Heart Journal 2018; 33(2) : 141-144

2021 ◽  
Vol 07 (05) ◽  
Author(s):  
Soumia Faid ◽  

Giant left atrium is a condition characterized by an extreme enlargement of the left atrium with a diameter more than 80 mm and it is usually associated with long standing rheumatic mitral valve disease. We present a case of giant left atrium in a 47-year-old female patient who had a history of rheumatic heart disease, severe mitral disease, permanent atrial fibrillation and causing the compression of adjacent intra-thoracic structures. The patient underwent a successful mitral valve replacement with reduction of the enlarged sized left atrium with good outcomes.


2016 ◽  
Vol 9 (1) ◽  
pp. 73-74
Author(s):  
Jubayer Ahmad ◽  
Md Mokhlesur Rahman ◽  
Heemel Saha ◽  
Md Aftabuddin ◽  
Asit Baran Adhikary

A 52 year-old male patient of severe MS with mild MR with AF with a giant left atrium (LA size 70 mm) and history of CMC presented with symptoms. Giant left atrium is a condition characterized by huge enlargement of the left atrium with a diameter exceeding 65mm. It is most commonly associated with long standing rheumatic mitral valve disease. The patient underwent successful mitral valve replacement and removal of LA thrombus and discharged from hospital with adviceCardiovasc. j. 2016; 9(1): 73-74


2020 ◽  
Vol 13 (1) ◽  
pp. 95-96
Author(s):  
Md Lokman Hossain ◽  
Mahbubor Rahman ◽  
Sadeka Dina ◽  
Mahbubul Islam ◽  
Md Abdul Karim ◽  
...  

We report a 52-year-old and weight of 79.36 lbs female patient with Thrombocytopenia induced by giant atrial thrombus in rheumatic mitral stenosis. The patient underwent bioprosthetic mitral valve implantation and removal of the giant thrombus. The platelet count progressively increased achieving normal levels one week after surgery. Cardiovasc. j. 2020; 13(1): 95-96


Author(s):  
Mohamed Kassim Akheela ◽  
A. Shaheer Ahmed

AbstractAn 18-year-old girl, a known case of rheumatic mitral stenosis, presented with dyspnea and palpitations. Electrocardiogram was done, which revealed atrial fibrillation and a large amplitude atrial fibrillatory wave, which was more than the voltage of R wave V1, a finding which is quite uncommon. Echocardiography revealed a large left atrium which was 80 mm in diameter. The patient was started on oral anticoagulation and referred for mitral valve replacement with maze procedure.


Author(s):  
Beatriz Bodanese ◽  
Ana Borba ◽  
Valdir Lippi Júnior ◽  
Kátia Purim

This report describes a therapeutic alternative for correction of severe mitral stenosis causing high-response atrial fibrillation, and consequent syncope in a woman at 8 weeks gestational age. A percutaneous valvuloplasty attempt failed, because the transseptal puncture was not possible, and a definitive resolution was achieved by transapical valvuloplasty, via left thoracotomy through an inframammary incision, with direct access to the mitral valve. Since this was an original and complex procedure, this case is of relevant importance in the treatment of severe mitral stenosis in patients whose conditions render a conventional procedure impossible.


2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Przemysław Filipiak ◽  
Anna Jaskóła ◽  
Karolina Gattner

Objectives. Psoriasis makes a relative contraindication for lithium treatment which can exacerbate its symptoms or induce it itself. On the other hand, lithium exerts immuno-modulatory activity. Case study. In this paper, a case of a female patient is presented. The patient has been treated since 2012 for bipolar affective illness (bipolar disorder – BD) and psori­asis, which occurred for the first time during a depress­ive episode. Despite intensive pharmacological treatment, both as inpatient and outpatient, a satisfactory improvement of affective illness has not been obtained. After the introduction of lithium, a remission of BD was achieved as well as a reduction of psoriatic changes, which have been maintained until now (2021). Conclusion. The remission of Bipolar Disorder (BD) on lithium can suggest that the patient belongs to the group of the so-called excellent lithium responders. In the presen­ted case remission of psoriasis was observed during lithium treatment. This case report must be treated with caution because remission could be spontaneous and the patient needs further observation.


Surgery Today ◽  
1996 ◽  
Vol 26 (2) ◽  
pp. 135-137 ◽  
Author(s):  
Taijiro Sueda ◽  
Hiroo Shikata ◽  
Kazumasa Orihashi ◽  
Norimasa Mitsui ◽  
Hideyuki Nagata ◽  
...  

2018 ◽  
Vol 85 (9) ◽  
pp. 19-23
Author(s):  
V. V. Popov

Objective. To analyze the peculiarities of surgical treatment of a mitral stenosis, complicated by massive thrombosis of left atrium. Маterials and methods. The group analyzed, operated in the Institute, consisted of 344 patients. Thrombosis of left atrium was considered a massive, when thrombotic masses have occupied no less than one third of its volume, not mentioning an auricle of atrium. Results. Hospital lethality after change of a mitral valve have constituted 4.2% and directly depended on from a degree of the left atrium thrombosis (р < 0.05). After open mitral comissurotomy hospital lethality was not observed, witnessing the expediency of the thrombosis matrix extraction. Conclusion. During the operation for a massive thrombosis of left atrium it is important to remove a maternal base of thrombotic bed and to eliminate the left atrium auricle, what lowers essentially the risk for lethality and thromboembolic complications on a hospital stage. Doing preoperative computed tomography of head and abdominal organs constitutes obligatory condition for exclusion of a hidden thromboembolism occurrence.


Sign in / Sign up

Export Citation Format

Share Document