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Gargantuan Left Atrium: A Sequela of Mitral Regurgitation and Mitral Stenosis
Author(s) -
Omslaer Brian T.,
Biederman Robert W. W.
Publication year - 2015
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12869
Subject(s) - medicine , cardiology , atrial fibrillation , stenosis , sequela , mitral regurgitation , mitral valve replacement , left atrium , pulmonary hypertension , transthoracic echocardiogram , transesophageal echocardiogram , cardiac magnetic resonance , mitral valve , magnetic resonance imaging , radiology , surgery
Cardiac magnetic resonance imaging and echocardiography revealed a gargantuan left atrium measuring 18.9 cm × 15.7 cm × 11.3 cm in a 56‐year‐old patient diagnosed with severe rheumatic mitral stenosis, severe pulmonary hypertension, and permanent atrial fibrillation. A chest x‐ray also revealed a cardiothoracic ratio approaching 1.0 and a transthoracic echocardiogram measured diameters as large as 19.2 cm. The patient then underwent mitral valve replacement and left atrial reduction surgery and has had no further admissions or complications.