Cardiomiopatia hipertrófica apical com átrio esquerdo gigante

Yuksel, Uygar Cagdas; Kurşaklıoğlu, Hürkan; Çelik, Turgay

doi:10.1590/s0066-782x2007000200024

Cited by 7 publications

(3 citation statements)

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“…Yuksel et al , reported it with hypertrophic cardiomyopathy. [21] Another case report was published by Cheng et al [22] associating this condition with cardiac amyloidosis, causing a restrictive cardiomyopathy pattern.…”

Section: Discussionmentioning

confidence: 99%

Giant left atrium: A review

Maghraby

Hajar

2012

Heart Views

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Giant left atrium is a rare condition, with a reported incidence of 0.3%, and following mainly rheumatic mitral valve disease. Although rheumatic heart disease represents the main cause of giant left atrium, other etiologies have been reported. Giant left atrium has significant hemodynamic effects and requires specific management. In this review, we present two cases, discuss the different definitions, etiologies, clinical presentation and management modalities.

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Section: Discussionmentioning

confidence: 99%

Giant left atrium: A review

Maghraby

Hajar

2012

Heart Views

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“…RHD was the underlying condition in the majority of cases of GLA in more recent studies; however, other causes like MVP, functional MR, hypertrophic cardiomyopathy and cardiac amyloidosis have also been identified as significant or rare causes. 1,2,[18][19][20][21] With further control of rheumatic fever and RHD, MVP may top the otherwise small list of aetiological diagnoses of GLA in the future.…”

Section: -2: Giant Left Atrium In a Patient With Mitral Valve Prolaps...mentioning

confidence: 99%

Aetiology and Clinical Profile of Giant Left Atrium – An Observational Study

et al. 2023

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Background: The predominant cause of giant left atrium (GLA) is rheumatic mitral valvular disease. GLA is commonly defined echocardiographically by measuring the left atrial diameter (LAD). In the context of changing epidemiology of rheumatic heart disease (RHD) globally, and introduction of left atrial volume index (LAVI), the aetiology of GLA and utility of LAVI for defining GLA may be necessary. Methods: The prospective observational study was carried out at a dedicated tertiary care cardiac centre of a developing country to know the aetiology and clinical pattern of GLA over 8 years. GLA was defined echocardiographically as a left atrium (LA) having a diameter ≥80 mm in the left parasternal long-axis view. Follow-up was made over the telephone. Results: Thirty cases of GLA were diagnosed over 8 years from 2013 to 2021. Twenty two were due to rheumatic heart disease (RHD), 7 due to MVP, and 1 due to flail anterior mitral leaflet. Mean LAD was 92.13 ± 16.72 mm, and the mean LAVI was 288.77 ± 134.40 ml/m2. LA thrombus was present in 5 patients, 6 had spontaneous echo contrast (SEC) in LA, 2 had both LA thrombus and SEC. Mean follow-up was 0.99 ± 1.06 years. Out of 15 patients, 5 died, while 10 were alive. Mean survival was 1.8 ± 1.17 years, ranging from less than 1 year to 4 years. Conclusion: RHD continues to be the predominant cause of GLA; however, MVP is also important. The cut-off value of LAVI for defining GLA needs further study. Cardiovasc j 2023; 15(2): 151-158

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“…The cause of GLA remains unknown, but since it is so strongly associated with rheumatic heart disease, there is hypothesis that rheumatic pancarditis damages the entire heart, including the atria [3]. It is closely related to rheumatic mitral regurgitation or mixed mitral valve disease with predominant regurgitation, but can occur in patients with rheumatic mitral stenosis or mitral regurgitation due to other causes [4][5][6]. Moreover, isolated reports in the literature of patients with GLA and mitral valve prosthesis sustain that atrial enlargement also affected by the quality of the left atrial wall [7].…”

Section: Case Reportmentioning

confidence: 99%

An unusual case of severe myocardial dysfunction in a patient with giant left atrium and frequent right ventricular pacing

Bobrov¹,

Tsyganov²,

Барсуков³

et al. 2016

Russ. Open Med. J.

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Abstract:Giant left atrium is a rare condition, with a reported incidence of 0.3%, and mainly associated with rheumatic mitral valve disease with predominant regurgitation. Giant left atrium has significant hemodynamic effects and requires specific management in the most of the cases. We present an unusual case of a 65-year-old woman with massive left atrial enlargement accompanied by frequent right ventricular pacing, who was documented with severe pacing-induced left ventricular dyssynchrony.Keywords: giant left atrium, ventricular pacing, strain analysis, ventricular dysfunction, heart failure.Cite as Bobrov A, Tsyganov A, Barsukov A, Mirokhina M. An unusual case of severe myocardial dysfunction in a patient with giant left atrium and frequent right ventricular pacing.

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Cardiomiopatia hipertrófica apical com átrio esquerdo gigante

Cited by 7 publications

References 0 publications

Giant left atrium: A review

Giant left atrium: A review

Aetiology and Clinical Profile of Giant Left Atrium – An Observational Study

An unusual case of severe myocardial dysfunction in a patient with giant left atrium and frequent right ventricular pacing

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