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Kawazoe, K., Beppu, S., Takahara, Y., Nakajima, N., Tanaka, K., Ichihashi, K., Fujita, T. and Manabe, H. (1983) Surgical Treatment of Giant Left Atrium Combined with Mitral Valve Disease, Plication Procedure for Reduction of Compression to the Left Ventricle, Bronchus, and Pulmonary Parenchyma. The Journal of Thoracic and Cardiovascular Surgery, 85, 885-892.
has been cited by the following article:
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TITLE:
Rheumatic Giant Left Atrium—An Overview
AUTHORS:
Ramachandran Muthiah
KEYWORDS:
Giant Left Atrium, PML (Posterior Mitral Leaflet) Prolapse, Coconut Atrium, Atrial Fibrillation, Surgical Procedures
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.6 No.6,
June
28,
2017
ABSTRACT: Aim: To present the aneurysmal dilatation of left atrium due to rheumatic mitral valve disease and its clinical consequences such as arrhythmic, thromboembolic and compressive manifestations. Introduction: Extreme enlargement of left atrium, usually referred to as giant, gigantic or aneurysmal dilatation is an uncommon finding with a reported incidence of 0.3% in rheumatic heart disease. It is an important clinical risk identifier to predict the outcome of cardiovascular disease. Case reports: Aneurysmal left atrium correlating with the length of pure mitral regurgitation jet in a 18-year-old girl, posterior mitral leaflet prolapse with regurgitation jet swirling around the entire interatrial septum in a 37-year-old male, Giant left atrium in mixed mitral valve disease in a 37-year-old female and a thrombosed giant left atrium resembling as “coconut” in a 50-year-old female were reported. Conclusion: Giant left atrium may be misinterpreted as right-sided pleural effusion, pericardial effusion and mediastinal tumor on X-ray chest and so echocardiographic evaluation is mandatory to exclude the aneurysmal left atrium in such conditions.