Rheumatic Giant Left Atrium—An Overview
Autor: | Ramachandran Muthiah |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
Mitral regurgitation Heart disease business.industry Pleural effusion Mediastinal tumor Atrial fibrillation General Medicine Regurgitation (circulation) 030204 cardiovascular system & hematology medicine.disease Pericardial effusion 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Internal medicine Mitral valve cardiovascular system medicine Cardiology cardiovascular diseases 030212 general & internal medicine business |
Zdroj: | Case Reports in Clinical Medicine. :164-195 |
ISSN: | 2325-7083 2325-7075 |
DOI: | 10.4236/crcm.2017.66017 |
Popis: | 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. |
Databáze: | OpenAIRE |
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