Complete endoatriectomy was successfully performed on a heavily calcified coconut left atrium with mitral valve replacement and tricuspid repair in a rare, severe case.
Complete endoatriectomy is a feasible surgical option for patients with a heavily calcified 'coconut' left atrium requiring mitral and tricuspid valve surgery when other approaches fail.
Absolute Event Rate: 0% vs 0%
We report an exceptionally rare case of “Coconut Left Atrium” (LA) presenting with severe mitral stenosis and tricuspid regurgitation. The patient developed acute, refractory symptoms necessitating urgent surgical intervention with mitral valve replacement and tricuspid repair. During the initial surgery, no cleavage plane could be identified in the interatrial septum (IAS), prompting a plan for balloon mitral valvotomy via a surgically created septal access. However, this plan was abandoned upon discovery of a newly formed soft thrombus during reoperation. With limited options remaining, a complete endoatriectomy of the heavily calcified left atrium and IAS was successfully accomplished.
Shrivastava et al. (Thu,) reported a other. Complete endoatriectomy was successfully performed on a heavily calcified coconut left atrium with mitral valve replacement and tricuspid repair in a rare, severe case.