Key result
Mitral valve replacement and left atrial reduction surgery successfully treated a patient with a gargantuan left atrium, resulting in no further admissions or complications.
Case Report (n=1)
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This case demonstrates the successful surgical management of a gargantuan left atrium secondary to severe rheumatic mitral stenosis using mitral valve replacement and left atrial reduction.
Cardiac magnetic resonance imaging and echocardiography revealed a gargantuan left atrium measuring 18.9 cm × 15.7 cm × 11.3 cm in a 56-year-old patient diagnosed with severe rheumatic mitral stenosis, severe pulmonary hypertension, and permanent atrial fibrillation. A chest x-ray also revealed a cardiothoracic ratio approaching 1.0 and a transthoracic echocardiogram measured diameters as large as 19.2 cm. The patient then underwent mitral valve replacement and left atrial reduction surgery and has had no further admissions or complications.
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Omslaer et al. (2015) conducted a case report in severe rheumatic mitral stenosis, severe pulmonary hypertension, and permanent atrial fibrillation (n=1). Mitral valve replacement and left atrial reduction surgery was evaluated on Further admissions or complications. Mitral valve replacement and left atrial reduction surgery successfully treated a patient with a gargantuan left atrium, resulting in no further admissions or complications.
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