Key result
Left atrial size reduction combined with mitral valve replacement surgery resulted in excellent recovery, total disappearance of symptoms, and restoration of sinus rhythm within a few days.
Why the study?
Does left atrial reduction surgery combined with mitral valve replacement improve symptoms and restore sinus rhythm in a patient with rheumatic mitral regurgitation and a giant left atrium?
Case Report (n=1)
Does left atrial reduction surgery combined with mitral valve replacement improve symptoms and restore sinus rhythm in a patient with rheumatic mitral regurgitation and a giant left atrium?
Left atrial reduction surgery combined with mitral valve replacement can successfully resolve symptoms and restore sinus rhythm in patients with rheumatic mitral regurgitation and a giant left atrium.
Answers are grounded in this paper and cite their sources.
Should not yet change practice in giant left atrium; leaves open need for controlled trials on efficacy.
A trans-thoracic echocardiography and chest radiograph of a 26 year old lady diagnosed as rheumatic mitral regurgitation with atrial fibrillation revealed a giant left atrium of 10.9 cm size with symptoms of dyspnoea and palpitation. The patient was treated with left atrial size reduction along with mitral valve replacement surgery and showed an excellent and quick recovery with total disappearance of symptoms and restoration of sinus rhythm only within few days.University Heart Journal Vol. 14, No. 1, Jan 2018; 42-44
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Ahmed et al. (2018) conducted a case report in Rheumatic mitral regurgitation with atrial fibrillation and giant left atrium (n=1). Left atrial size reduction and mitral valve replacement surgery was evaluated on Recovery, symptom resolution, and restoration of sinus rhythm. Left atrial size reduction combined with mitral valve replacement surgery resulted in excellent recovery, total disappearance of symptoms, and restoration of sinus rhythm within a few days.
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