Key result
A 71-year-old man with a history of rheumatic fever and mitral valve replacement presented with prosthetic-valve endocarditis and complete calcification of the left atrial wall.
Case Report (n=1)
This case highlights a rare presentation of complete left atrial calcification in a patient with a long-standing history of chronic rheumatic mitral disease.
Alerts clinicians to rare complete left atrial calcification in chronic rheumatic disease; leaves open its prevalence, etiology, and management.
A 71-year-old man who had had rheumatic fever as a child presented with prosthetic-valve endocarditis. A mitral valvotomy had been performed 37 years before, and 21 years later, his mitral valve was replaced with a Starr–Edwards prosthesis. Lateral chest radiography showed complete calcification of the left atrial wall (Panel A, arrows). A transesophageal echocardiogram showed calcification of the interatrial septum (Panel B, arrow). This rare condition was first described in 1898, in association with chronic rheumatic mitral disease, and is more common in women, most of whom have symptoms for more than 20 years. The condition is assumed to be . . .
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Pulikal et al. (2006) conducted a case report in Complete calcification of the left atrial wall and prosthetic-valve endocarditis (n=1). Rheumatic fever and mitral valve replacement was evaluated on Complete calcification of the left atrial wall. A 71-year-old man with a history of rheumatic fever and mitral valve replacement presented with prosthetic-valve endocarditis and complete calcification of the left atrial wall.
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