Giant Left Atrium in Triple Rheumatic Heart Disease
| Autor: | Gëzim Berisha, Edmond Haliti, Gani Bajraktari |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty Heart disease lcsh:Medicine macromolecular substances Regurgitation (circulation) Internal medicine Mitral valve pulmonary hypertension medicine case report cardiovascular diseases Mitral regurgitation Tricuspid valve business.industry lcsh:R valvular heart disease rheumatic heart disease medicine.disease Pulmonary hypertension giant left atrium medicine.anatomical_structure lcsh:RC666-701 cardiovascular system Cardiology Commissurotomy business |
| Zdroj: | International Cardiovascular Forum Journal, Vol 13, Pp 34-36 (2018) |
| ISSN: | 2409-3424 2410-2636 |
| DOI: | 10.17987/icfj.v13i0.498 |
| Popis: | The giant left atrium (GLA) is a rare condition, commonly associated with rheumatic mitral valve disease, and very rarely with non rheumatic heart disease (nRHD). The triple valvular heart disease with involved mitral, aortic and tricuspid valves is quite uncommon. A 47 year female patient with a past medical history of rheumatic heart disease (RHD) and known severe mitral stenosis was with severe breathlessness (NYHA class IV). She had undergone mitral valve commissurotomy and tricuspid valve annuloplasty 12 years previously. Transthoracic echocardiography revealed a giant left atrium, moderate to severe mitral valve restenosis, severe mitral regurgitation, moderate aortic regurgitation and severe tricuspid regurgitation, associated with severe secondary pulmonary hypertension and a markedly dilated right heart chambers. The patient was considered inoperable by the heart team, because of advanced pulmonary hypertension predicting a very high risk for open heart surgery. The final treatment decision was a difficult and complex issue. |
| Databáze: | OpenAIRE |
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