Silent giant left atrium: A case report

Vohra, Shweta; Pradhan, Akshyaya; Jaiswal, Vikash; Sharma, Prachi; Pokhrel, Nishan Babu; Song, D X

doi:10.1002/ccr3.5363

Cited by 3 publications

(3 citation statements)

References 13 publications

(13 reference statements)

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“…fected due to the active remodeling of the critically small LV cavity towards a certain increase in its size already at the hospital stage [8,9,10,11,12,13,14,15]. The conjugal process does not allow to quickly increase the volume of LV, so the size of the mitral mechanical prosthesis (25 mm) is adequate in this clinical situation.…”

Section: A B Fig 3 X-ray Dynamics Of the Shadow Of The Heart At The H...mentioning

confidence: 99%

Surgical Reconstruction of Mitral Restenosis Complicated by a Critically Small Left Ventricular Cavity and Giant Left and Right Atriomegaly (Clinical Case)

Попов

Bolshak

Boukarim

et al. 2023

ujcvs

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Background. Comprehensive reconstruction of the left and right parts of the heart in giant left atriomegaly, adequate tactics of mitral valve replacement in case of concomitant tricuspid insufficiency and dilation of the right atrium lead to an improvement in the functional state of the myocardium as early as at the hospital stage. Case description. Patient B., a 67-year-old woman, was examined and treated from July 12 to August 2, 2016 at the Department of Surgical Treatment of Acquired Heart Diseases of the National Amosov Institute of Cardiovascular Surgery of the National Academy of Medical Sciences of Ukraine with a diagnosis: stage IV mitral restenosis, condition after closed mitral commissurotomy in 2001, critically small cavity of the left ventricle, giant left atriomegaly, IV degree tricuspid insufficiency, right atriomegaly, high pulmonary hypertension, permanent form of atrial fibrillation for 15 years since 2001, NYHA class IV heart failure, IIB. The patient underwent surgical intervention: mitral valve replacement + W-shaped plastic surgery of the left atrium in combination with dosed resection of left atrium + tricuspid valve plasty with the imposition of a support ring + resection of the right atrium. Conclusion. Given the initial serious condition of the patient with advanced mitral restenosis, critically small left ventricular cavity, giant left atriomegaly of 169.4 × 115.8 mm (according to computed tomography) and high pulmonary hypertension (65 mm Hg), concomitant pathology of the right parts of the heart (tricuspid insufficiency and right atriomegaly), adequate tactics in mitral valve replacement and radical correction of the left atriomegaly lead to an improvement in the functional state of the heart as early as at the hospital stage.

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Section: A B Fig 3 X-ray Dynamics Of the Shadow Of The Heart At The H...mentioning

confidence: 99%

Surgical Reconstruction of Mitral Restenosis Complicated by a Critically Small Left Ventricular Cavity and Giant Left and Right Atriomegaly (Clinical Case)

Попов

Bolshak

Boukarim

et al. 2023

ujcvs

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“…Left atriomegaly in the presence of AF tachyform contributes to the occurrence of blood clots in the cavity of the LA and thromboembolic complications, therefore, during correction, it is necessary to make a maximum decrease in the volume of LA. In addition, dilated LA contributes to the progression of cardiorespiratory failure due to compression of the bronchi, trachea and posterior wall of the LV [5,7,8,9,10,11].…”

Section: український журнал серцево-судинної хірургії том 31 № 2 2023mentioning

confidence: 99%

“…In Marfan syndrome and mitral valve prosthetics, complete preservation of valvular and subvalvular structures can significantly reduce the critically increased volume of LV, maintain its contractility, especially in the presence of ventriculomegaly, which gives manifestations of critical HF [8,9,10,11]. Functional recovery of the heart (decrease in the level of latent HF) is observed only by 4 months, and only thanks to powerful therapy (Uperio, prednisone), which is an urgent element of the treatment strategy, starting from the preoperative stage.…”

Section: український журнал серцево-судинної хірургії том 31 № 2 2023mentioning

confidence: 99%

Surgical Reconstruction of Mitral-Tricuspid Insufficiency Combined with Biatriomegaly in Marfan Syndrome

Попов

Bolshak

Boukarim

et al. 2023

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The aim. To analyze the results of introduction of complex reconstruction of the left and right parts of the heart in Marfan syndrome combined with mitral-tricuspid insufficiency, biatriomegaly and left ventriculomegaly. Materials and methods. As an example of this pathology, we present our observation. Female patient T., 24 years old, was examined and treated from 7/27/2022 to 8/17/2022 at the Department of Surgical Treatment of Acquired Heart Diseases of the National Amosov Institute of Cardiovascular Surgery of the National Academy of Medical Sciences of Ukraine with a diagnosis: Marfan syndrome. Stage IV mitral-tricuspid insufficiency. Biatriomegaly. High pulmonary hypertension. Permanent form of atrial fibrillation (for 10 years, since 2011). IIB heart failure with left ventriculomegaly with reduced left ventricular ejection fraction. NYHA functional class IV+. The patient underwent surgery in the following volume: mitral valve replacement with full preservation of the valve apparatus + tricuspid valve plasty with the imposition of a support ring + triangular plasty of the left atrium with its partial resection + resection of the right atrium. Results. Within 4 months after surgery, echocardiographic parameters showed significant decrease in the volume of the left ventricle, the diameters of both atria. In addition, there was a significant decrease in the level of N-terminal pro-brain natriuretic peptide and manifestations of heart failure. Conclusion. Taking into account the initial serious condition of the patient with Marfan syndrome and advanced mitral-tricuspid heart disease, left ventriculomegaly with a reduced left ventricular ejection fraction, biatriomegaly (left atrium 7.2 cm, right atrium 6.5 cm), permanent form of atrial fibrillation, complex reconstruction of the left and right parts of the heart leads to an improvement in the functional state of the myocardium.

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Hypersensitivity reaction to intravenous ondansetron: A case report

Devkota¹,

Pradhan²,

Gajurel³

2022

Clinical Case Reports

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Silent giant left atrium: A case report

Abstract: A 30‐year‐old woman presented with low‐grade dyspnea on exertion. Chest X‐ray demonstrated enlarged cardiac silhouette but was insufficient to delineate the cause. Echocardiogram revealed the cause to be the giant left atrium from mitral stenosis.

Cited by 3 publications

References 13 publications

Surgical Reconstruction of Mitral Restenosis Complicated by a Critically Small Left Ventricular Cavity and Giant Left and Right Atriomegaly (Clinical Case)

Surgical Reconstruction of Mitral Restenosis Complicated by a Critically Small Left Ventricular Cavity and Giant Left and Right Atriomegaly (Clinical Case)

Surgical Reconstruction of Mitral-Tricuspid Insufficiency Combined with Biatriomegaly in Marfan Syndrome

Hypersensitivity reaction to intravenous ondansetron: A case report

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