Key result
Surgical left atrial reduction successfully decreased left atrial dimensions from 118 × 104 mm to 80 × 77 mm and eliminated spontaneous echocardiographic contrast.
Case Report (n=1)
No
Simple left atrial reduction by excision and plication successfully reduced giant left atrium size and eliminated spontaneous echocardiographic contrast in a patient with rheumatic mitral valve disease.
May support left atrial reduction in giant left atrium; hypothesis-generating for rheumatic mitral disease and should not change practice.
A patient with giant left atrium due to rheumatic mitral valve disease with spontaneous echocardiographic contrast in the giant left atrium is presented in this case report. The left atrial diameter reduction from dimensions of 118 104 mm to 80 77 mm was attained by excision of two-centimeter wide strips of left atrium on both sides by widely plicating the left atrial appendage from the inside with running polypropylene sutures. Spontaneous echocardiographic contrast disappeared in the postoperative echocardiographic control. The patient had uneventful recovery in the postoperative period and was discharged on the fifth day after the operation.
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Özdemir et al. (2012) conducted a case report in Giant left atrium accompanying rheumatic mitral stenosis (n=1). Surgical left atrial reduction was evaluated on Left atrial dimensions. Surgical left atrial reduction successfully decreased left atrial dimensions from 118 × 104 mm to 80 × 77 mm and eliminated spontaneous echocardiographic contrast.
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