Key result
A 73-year-old woman with a history of rheumatic heart disease developed massive left atrial calcification, or 'coconut atrium', 20 years after surgical mitral valve replacement.
Case Report (n=1)
Massive left atrial calcification can occur as a late complication of rheumatic heart disease decades after mitral valve replacement, presenting as new-onset heart failure.
May warrant evaluation for coconut atrium in late heart failure after mitral valve replacement; leaves open incidence and risk factors in rheumatic disease.
•Massive LA calcification is a rare manifestation of long-standing RHD.•This condition is not necessarily related to the severity of rheumatic valve disease.•LA calcification may onset several years after surgical MVR.•Although likely explained by chronic inflammation, further mechanisms remain unknown.
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Cotella et al. (2022) conducted a case report in Rheumatic heart disease with massive left atrial calcification (n=1). Massive left atrial calcification was evaluated. A 73-year-old woman with a history of rheumatic heart disease developed massive left atrial calcification, or 'coconut atrium', 20 years after surgical mitral valve replacement.
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