scholarly journals Giant Left Atrium in Rheumatic Mitral Disease: Beyond a Simple Adaptive Mechanism: A Case Report

2021 ◽  
Vol 07 (05) ◽  
Author(s):  
Soumia Faid ◽  
Keyword(s):  
Atrial Fibrillation ◽  
Case Report ◽  
Mitral Valve ◽  
Left Atrium ◽  
Adaptive Mechanism ◽  
Permanent Atrial Fibrillation ◽  
History Of ◽  
Giant Left Atrium ◽  
Mitral Disease ◽  
Rheumatic Heart

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.

scholarly journals A case report: cardiac dysphagia — a ghost of the past?

2021 ◽  
Author(s):  
Céline Deschepper ◽  
Daniel Devos ◽  
Michel De Pauw
Keyword(s):  
Mitral Valve ◽  
Left Atrium ◽  
Pressure Overload ◽  
Developed Countries ◽  
Extrinsic Compression ◽  
Oesophagogastric Junction ◽  
Atrial Remodelling ◽  
History Of ◽  
Giant Left Atrium ◽  
Mitral Disease

Abstract Background Rheumatic heart disease has become rare in developed countries and physicians have grown unfamiliar with the disease and its clinical course. The mitral valve is most commonly affected leading to mitral regurgitation and/or stenosis. The chronic volume and/or pressure overload leads to atrial remodelling and enlargement, driving the development of atrial fibrillation and thromboembolic events. Case Summary A 87-year-old patient with a history of rheumatic mitral stenosis and mitral valve replacement was admitted to the neurology department for vertigo. A stroke was suspected and she underwent a transoesophageal echocardiogram which was complicated by dysphagia. Oesophageal manometry and CT revealed oesophagogastric junction outflow obstruction due to extrinsic compression by a giant left atrium. Discussion Dysphagia due to a giant left atrium is rare. Various diagnostic criteria exist and the prevalence thus depends on which criterium is used. It is mostly encountered in rheumatic mitral disease, although there are reports of non-rheumatic etiology. When the left atrium assumes giant proportions it can compress adjacent intrathoracic structures. Compression of the oesophagus can lead to dysphagia, as in our case. A transoesophageal echocardiogram in these cases is relatively contraindicated and should only be performed if there is considerable reason to believe that it may change patient management.

scholarly journals Giant Left Atrium in a case of Mitral stenosis with LA thrombus: A Case Report

2016 ◽  
Vol 9 (1) ◽  
pp. 73-74
Author(s):  
Jubayer Ahmad ◽  
Md Mokhlesur Rahman ◽  
Heemel Saha ◽  
Md Aftabuddin ◽  
Asit Baran Adhikary
Keyword(s):  
Case Report ◽  
Mitral Valve ◽  
Left Atrium ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Male Patient ◽  
Mitral Valve Disease ◽  
Mitral Stenosis ◽  
History Of ◽  
Giant Left Atrium

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

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 ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Case Report ◽  
Mitral Valve ◽  
Left Atrium ◽  
Female Patient ◽  
Mitral Stenosis ◽  
Cardiac Insufficiency ◽  
Mitral Insufficiency ◽  
Permanent Atrial Fibrillation

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

Giant left atrium in a woman with mitral prosthetic valve malfunction and history of rheumatic heart disease

2009 ◽  
Vol 4 (5) ◽  
pp. 435-437
Author(s):  
Gaspare Parrinello ◽  
Daniele Torres ◽  
Salvatore Paterna ◽  
Manuela Mezzero ◽  
Pietro Di Pasquale ◽  
...  
Keyword(s):  
Heart Disease ◽  
Left Atrium ◽  
Rheumatic Heart Disease ◽  
Prosthetic Valve ◽  
History Of ◽  
Giant Left Atrium ◽  
Valve Malfunction ◽  
Rheumatic Heart

Surgical ablation of atrial fibrillation in patients with a giant left atrium undergoing mitral valve surgery

Heart ◽  
2016 ◽  
Vol 102 (15) ◽  
pp. 1206-1214 ◽  
Author(s):  
Ho Jin Kim ◽  
Joon Bum Kim ◽  
Sung-Ho Jung ◽  
Suk Jung Choo ◽  
Cheol Hyun Chung ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Mitral Valve ◽  
Left Atrium ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Surgical Ablation ◽  
Giant Left Atrium

scholarly journals Giant Left Atrium in Triple Rheumatic Heart Disease

2018 ◽  
Vol 13 ◽  
Author(s):  
Gëzim Berisha ◽  
Edmond Haliti ◽  
Gani Bajraktari
Keyword(s):  
Pulmonary Hypertension ◽  
Heart Disease ◽  
Mitral Valve ◽  
Left Atrium ◽  
Rheumatic Heart Disease ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Heart Team ◽  
Giant Left Atrium ◽  
Rheumatic Heart

The giant left atrium (GLA) is a rare condition, commonly associated with rheumatic mitral valve disease, and very rarely with non rheumatic heart disease (nRHD). The triple valvular heart disease with involved mitral, aortic and tricuspid valves is quite uncommon. A 47 year female patient with a past medical history of rheumatic heart disease (RHD) and known severe mitral stenosis was with severe breathlessness (NYHA class IV). She had undergone mitral valve commissurotomy and tricuspid valve annuloplasty 12 years previously.  Transthoracic echocardiography revealed a giant left atrium, moderate to severe mitral valve restenosis, severe mitral regurgitation, moderate aortic regurgitation and severe tricuspid regurgitation, associated with severe secondary pulmonary hypertension and a markedly dilated right heart chambers. The patient was considered inoperable by the heart team, because of advanced pulmonary hypertension predicting a very high risk for open heart surgery. The final treatment decision was a difficult and complex issue.

scholarly journals First mitral valve replacement using Edwards MITRIS RESILIA mitral valve in a patient with functional mitral regurgitation: a case report

2021 ◽  
Author(s):  
Takashi Kakuta ◽  
Tomoyuki Fujita ◽  
Satoshi Kainuma ◽  
Naonori Kawamoto ◽  
Naoki Tadokoro ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Case Report ◽  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Functional Mitral Regurgitation ◽  
Postoperative Course ◽  
Structural Valve Deterioration ◽  
History Of ◽  
Mitral Surgery ◽  
Mitral Bioprosthesis

RESILIA tissue expected to prevent structural valve deterioration owing to calcification on leaflets was firstly mounted in a mitral bioprosthesis, named MITRIS RESILIA mitral valve (MITRIS). MITRIS has softer cuff than Magna Mitral Ease and stent posts that deflect to prevent suture looping. A 77-year-old man, having a history of long-standing atrial fibrillation, presented with dyspnea on effort. An echocardiography suggested atrial functional MR. We successfully replaced mitral valve using a 27-mm MITRIS, and his postoperative course was uneventful with good hemodynamics. MITRIS may have advantages for implantability and durability, making it a promising prosthesis for patients requiring mitral surgery.

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