Coconut atrium secondary to end-stage renal failure treated with long-term haemodialysis

Panayiotou, Andreas; Holloway, Benjamin

doi:10.1093/eurheartj/ehy245

Cited by 4 publications

(4 citation statements)

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“…It has been observed that the interatrial septum is usually spared in this condition. The most common cause appears to be due to rheumatic heart disease, although it has also been reported in end-stage renal failure with severe hyperparathyroidism2 and post-radiotherapy 3. Interestingly, in patients with rheumatic heart disease, the condition appears to develop a few decades after surgical valve intervention,4 as observed in our patient.…”

Section: Descriptionsupporting

confidence: 60%

Cardiac resynchronisation therapy in a patient with porcelain atrium

et al. 2020

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Section: Descriptionsupporting

confidence: 60%

Cardiac resynchronisation therapy in a patient with porcelain atrium

et al. 2020

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“… 5 This might discourage the hypothesis that hemodynamic factors are the main drivers of the massive LA dilation and calcification and could also explain why the right atrium is not affected. Additionally, this condition has been described as a complication of long-term hemodialysis 6 and following thoracic radiotherapy. 7 …”

Section: Discussionmentioning

confidence: 99%

Massive Left Atrial Calcification in Late Rheumatic Heart Disease

Cotella

Pinna

Michelena

et al. 2022

CASE

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“…Surgical access to the mitral valve in cases of complete calcification of the left atrium, including the interatrial septum becomes very difficult. Out of 16 reported cases in the published literature only 4 patients could be operated on [51][52][53][54][55][56][57][58][59][60][61][62][63][64].…”

Section: Surgical Approach and Managementmentioning

confidence: 99%

A Treatise on the Surgical Management of Porcelain Atrium and Coconut Atrium

Chowdhury

Sankhyan

Gudala

et al. 2019

JCSHD

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The present perspective is a synthesis of 119 published investigations in the setting of porcelain atrium and coconut atrium in the literature. We identified 60 suitable cases (porcelain atrium, n=44; coconut atrium, n=16) from 34 investigations, and reviewed the clinical presentation, diagnostic modalities utilized, surgical techniques employed and outcomes. Roentgenography, cross-sectional transthoracic and transesophageal echocardiography, computerized tomography and fluoroscopy provided the necessary diagnostic information and defined the disease entity before surgery in all patients. Magnetic resonance imaging and selective coronary angiography had been used for further clarification of the presence of intraluminal left atrial thrombus. We then grouped the lesions into two categories, namely “porcelain atrium” and “coconut atrium” that have a bearing on the appropriate surgical approach, discussing appropriate surgical or non-surgical techniques for each group. For the overall group, taking into consideration of the patients subjected to surgical intervention, the operative mortality remains high at 20.6% [porcelain atrium: hospital death 6/30 (20%), coconut atrium: hospital death 1/4 (25%). We submit that an increased appreciation of different types of left atrial wall calcification may well contribute to improved surgical management.

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Coconut atrium secondary to end-stage renal failure treated with long-term haemodialysis

Cited by 4 publications

References 0 publications

Cardiac resynchronisation therapy in a patient with porcelain atrium

Cardiac resynchronisation therapy in a patient with porcelain atrium

Massive Left Atrial Calcification in Late Rheumatic Heart Disease

A Treatise on the Surgical Management of Porcelain Atrium and Coconut Atrium

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