Why the study?
Rheumatic mitral valve disease remains the primary indication for mitral surgery in developing countries, and delayed surgery causes giant left atrium, which leads to complications compromising hemodynamic stability.
Mitral valve replacement combined with left atrial reduction can be successfully performed in patients with severe mitral stenosis and giant left atrium.
Supports feasibility of combined mitral valve replacement and left atrial reduction; leaves open larger studies for safety and efficacy.
Rheumatic mitral valve disease, a preventable and eradicable condition, remains the primary indication of mitral valve surgery in developing countries. Delayed surgery is the main cause of giant left atrium (LA). This extreme dilatation of LA causes various complications compromising hemodynamic stability. We describe herein a patient with severe mitral stenosis and giant LA who had successful surgical correction by mitral valve replacement with reduction of the size of a LA.
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Oughebbi et al. (2023) studied this question.
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