Key result
Left atrial reduction plasty with mitral replacement resolves cardiac and compressive symptoms in giant left atrium.
Why the study?
Giant left atrium can rarely cause dysphagia by compressing the esophagus, and the role of left atrial volume reduction plasty in relieving compression symptoms during mitral valve surgery is clinically relevant.
Case Report (n=1)
May relieve compression symptoms in giant left atrium; hypothesis-generating for plasty techniques and requires prospective validation.
The giant left atrium is described as an atrium with a diameter of 6.5 cm or larger and which can rarely cause dysphagia by compressing on the esophagus. Left atrial enlargement is usually seen due to mitral valve disease. The most common indication of left atrial volume reduction plasty during mitral valve surgery is the compression symptoms. We performed mitral valve replacement in our case and transformed the giant left atrium into an anatomical chamber with the technique we applied. In this way, we successfully eliminated cardiac and compression symptoms. Cardiac causes of dysphagia are rarely seen, usually, cardiac complaints are more prominent than dysphagia. However, it should be kept in mind in the differential diagnosis. We think that cardiac mortality and morbidity may be prevented with early diagnosis and treatment.
No takes yet. Share an insight, caveat, or question.
Buğra et al. (2020) conducted a case report in Giant left atrium causing dysphagia (n=1). Mitral valve replacement and left atrial volume reduction plasty was evaluated on Elimination of cardiac and compression symptoms. Mitral valve replacement combined with left atrial volume reduction plasty successfully eliminated cardiac and compression symptoms in a patient with a giant left atrium.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: