A Giant Left Atrium in rheumatic mitral disease: beyond a simple adaptive mechanism: a case report
Downloads
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.
. A. Loch, M.A. Sadiq, W.A. Wan Ahmad, Giant left atrium in a patient with prosthetic mitral valve, Eur. Heart J. 34 (13) (2013) 981.
. Hurst W: Memories of patients with a giant left atrium. Circulation 2001, 104: 2630-2631.
. Plaschkes J, Broman JB, Mercin G, Milwidsky H: Giant left atrium in rheumatic heart disease: a report of18 cases treated by mitral valve replacement. Ann Surg 1971, 174: 194-201.
. Ahmed El Maghaby and Rachel Hajar, Giant Left Atrium: A Review; Heart views 2012 Apr-Jun; 13(2):46-52
. Di Eusanio G, Gregorini R, Mazzola A, Clementi G, Procaccini B, Cavarra F, Tarasch F, Esposito G, Di Nardo W, DiLuzio V. Giant left atrium and mitral valve replacement: risk factor analysis. Eur J Cardio-Thorac Surg. 1988;2:151–159.
. Kawazoe K, Beppu S, Takahara Y, Nakajima N, Tanaka K, Ichinashi K, Fujita T, Manabe H. Surgical treatment of giant left atrium combined with mitral valvular disease. Plication procedure for reduction of compression to the left ventricle, bronchus, and pulmonary parenchyma. J Thorac Cardiovasc Surg. 1983;85:885–892.
. Oh JK. Echocardiographic evaluation of morphological and hemodynamic significance of giant left atrium. Circulation. 1992;86:328–30.
. Piccoli GP, Massini C, Di Eusanio G, Ballerini L, Tacobone G, Soro A, et al. Giant left atrium and mitral valve disease: Early and late
results of surgical treatment in 40 cases. J Cardiovasc Surg. 1984;25:328–36.
. Apostolakis E, Shuhaiber JH. The surgical management of giant left atrium. Eur J Cardiothorac Surg. 2008;33(2):182–190.
. Minagoe S, Yoshikawa J, Youshida K, Akasaka T, Shakudo M, Maeda K, et al. Obstruction of the inferior vena cava orifice by giant left atrium in patients with mitral stenosis. A Doppler echocardiographic study from the Right parasternal approach. Circulation. 1992 ; 86:214–25
. Castrillo C, Rivas AO, De Berrazueta JR. Giant left atrium mimicking right heart failure. Eur Heart J. 2008;29:1056.
. Sanfalippo A, Abascal V, Sheehan M, Oertel LB, Harrigan P, Hughes RA, Weyman AE. Atrial enlargement as a consequence of atrial fibrillation. Circulation. 1990;82:792–797.
. Schwammenthal F, Vered Z, Agranat O, Kaplinsky E, Rabinowitz B, Feinberg MS: Impact of atrioventricular compliance on pulmonary artery pressure in mitral stenosis: an excercise echocardiographic study. Circulation
, 102: 2378-2384.
. Funk M, Perez M, Santana O. Asymptomatic giant left atrium. Clin Cardiol. 2010; 33:e104–5
. Tonguç E, Kestelli M, Özsöyler I, Yilik L, Yılmaz A, Özbek C, et al. Limit of indication for placation of giant left atrium. Asian Cardiovasc Thorac Ann. 2001; 9:24–6.
. H. Sugiki, T. Murashita, K. Yasuda, H. Doi, Novel technique for volume reduction of giant left atrium: simple and effective "spiral resection"
method, Ann. Thorac. Surg. 81 (1) (2006) 378–380.
. Yuda A, Nakatini S, Isobe F, Kosakai Y, Miyataki K. Comparative efficacy of the Maze procedure for restoration of atrial contraction in patients with and without giant left atrium
associated with mitral valve disease. JACC. 1998;31:1097–102.
. Wang W, Guo LR, Martland AM, Feng XD, Ma J, Feng Q. Biatrial reduction plasty with reef imbricate technique as an adjunct to Maze procedure for permanent atrial fibrillation associated with giant atria. Interact Cardiovasc Thorac Surg. 2010; 10:571–81.
All Content should be original and unpublished.