Giant left atrium in undersized mitral ring annuloplasty

<p>Enlargement of left atrium occurs in patients with longstanding mitral valve disease due to chronic pressure and volume overload and occasionally left atrium reaches a massive enlargement, condition known as giant left atrium. It is most commonly associated with rheumatic mitral valve disease, both stenosis and regurgitation. This unique case deals with a 70-year-old woman who developed a giant left atrium due to a severe mitral regurgitation from complete prolapse of both mitral leaflets, as a consequence of previous undersized mitral ring annuloplasty. </p>

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Left Atrial Reduction and Mitral Valve Replacement in a 5-Year-Old Girl with Severe Mitral Regurgitation and Giant Left Atrium

Pediatric Cardiology ◽

10.1007/s002460010267 ◽

2001 ◽

Vol 22 (5) ◽

pp. 417-418 ◽

Cited By ~ 1

Author(s):

S. Shah ◽

N.M. Sankar ◽

K.M. Cherian

Keyword(s):

Mitral Valve ◽

Mitral Regurgitation ◽

Left Atrium ◽

Valve Replacement ◽

Mitral Valve Replacement ◽

Left Atrial ◽

Severe Mitral Regurgitation ◽

Giant Left Atrium

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GIANT LEFT ATRIUM THROMBOSIS ASSOCIATED WITH AN ASYMPTOMATIC MITRAL VALVE DISEASE

Russian Electronic Journal of Radiology ◽

10.21569/2222-7415-2020-10-1-238-244 ◽

2020 ◽

Vol 10 (1) ◽

pp. 238-244

Author(s):

E.V. Reznik ◽

◽

M.S. Komissarova ◽

D.V. Ustyuzhanin ◽

I.G. Nikitin ◽

...

Keyword(s):

Mitral Valve ◽

Left Atrium ◽

Mitral Valve Disease ◽

Valve Disease ◽

Giant Left Atrium

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Concomitant Left Atrial Reduction in Rheumatic Mitral Valve Disease with Giant Left Atrium

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1097/imi.0000000000000559 ◽

2018 ◽

Vol 13 (5) ◽

pp. 349-355 ◽

Cited By ~ 1

Author(s):

Sudhir Adalti ◽

Kartik G. Patel ◽

Chirag P. Doshi ◽

Chandrashekhar Ananthnarayanan ◽

Chintan N. Mehta ◽

...

Keyword(s):

Mitral Valve ◽

Left Atrium ◽

Mitral Valve Disease ◽

Normal Sinus Rhythm ◽

Heart Association ◽

Persistent Atrial Fibrillation ◽

Valve Disease ◽

Aortic Cross Clamp Time ◽

Giant Left Atrium ◽

The Mean

Objective The giant left atrium is a frequent finding with rheumatic heart disease. The enlarged left atrium was found to be a risk factor for early mortality and postoperative higher thromboembolic events, but its management remains controversial. Most of the surgeons just do the mitral valve procedure without any intervention for enlarged left atrium. We present our center's experience of patients with giant left atrium who underwent a newer technique of left atrium reduction concomitant with mitral valve procedure. Methods Between January 2012 and February 2015, 25 patients, who underwent surgery for concomitant left atrium reduction with mitral valve disease, were included in the study after institute's ethics committee clearance. Patients having combined aortic and mitral valve disease were excluded. Preoperative, intraoperative, and postoperative data were collected. All the patients were also followed up clinically and echocardiographically in postoperative period. Results There were 15 (60%) females. The mean ± SD age of the patients was 36.92 ± 5.4 years. Preoperatively, all patients were in long-standing persistent atrial fibrillation. The mean ± SD bypass and aortic cross-clamp time were 74.56 ± 3.85 and 51.72 ± 4.32 minutes, respectively. There was a significant reduction of left atrium diameter and volume from 94.48 ± 11.0 mm to 40.08 ± 1.35 mm and 348.3 ± 121.1 to 26.57 ± 2.9 mL/m2, respectively. There was no early or late mortality. At a mean ± SD follow-up of 42.28 ± 12.1 months, all patients were in New York Heart Association I or II class and 24 (96%) patients were in normal sinus rhythm. Conclusions Concurrent left atrium reduction with mitral valve procedure is a feasible and effective technique for event-free survival of the patients having giant left atrium with mitral disease.

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