Key result
A 38-year-old female with a record-sized giant left atrium of 18.7 cm due to severe mitral stenosis underwent mitral valve replacement and left atrial plication but died on the 10th postoperative day.
Case Report (n=1)
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Delaying surgery for severe mitral stenosis can lead to extreme left atrial enlargement (giant left atrium) and fatal postoperative outcomes.
Chest X-ray examination of a 38-years-old female patient, who was diagnosed as having mitral stenosis, revealed cardiac enlargement due to huge left atrium. Cardiothoracic ratio was approximately 0.90. Cardiac enlargement was due to the distortion of cardiac structures by giant left atrium. Giant left atrium can be readily demonstrated by echocardiography. Delaying the operation for mitral valve replacement may lead to fatal outcomes. Optimal timing for operation is important in mitral stenosis.
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Ateş et al. (2006) conducted a case report in Mitral stenosis with giant left atrium (n=1). Mitral valve replacement and left atrial plication was evaluated on Surgical outcome. A 38-year-old female with a record-sized giant left atrium of 18.7 cm due to severe mitral stenosis underwent mitral valve replacement and left atrial plication but died on the 10th postoperative day.
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