Key result
Mitral valve replacement and thrombectomy through an inverted T-shaped biatrial incision successfully treated a 45-year-old woman with a giant left atrium and a massive 500g thrombus.
Case Report (n=1)
No
A case report demonstrating successful mitral valve replacement and thrombectomy in a patient with rheumatic mitral stenosis and a giant left atrium containing a 500g thrombus.
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Supports feasibility of inverted T-shaped incision in select giant left atrial thrombus cases; leaves open generalizability and safety in larger series.
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. We present a 45-year-old female patient with rheumatic mitral stenosis associated with giant left atrium occupied by an 11 × 10 × 5 cm thrombus weighing 500 gms. The patient underwent successful mitral valve replacement and thrombectomy through an inverted T-shaped biatrial incision.
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Darwazah et al. (2013) conducted a case report in Giant left atrium with massive thrombus formation (n=1). Mitral valve replacement and thrombectomy was evaluated on Clinical recovery and reduction of left atrial size. Mitral valve replacement and thrombectomy through an inverted T-shaped biatrial incision successfully treated a 45-year-old woman with a giant left atrium and a massive 500g thrombus.
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