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Case Reports
. 2006;33(3):389-91.

Giant left atrium with rheumatic mitral stenosis

Mehmet Ates  1 , Yavuz Sensoz, Gunseli Abay, Murat Akcar
Affiliations
Case Reports

Giant left atrium with rheumatic mitral stenosis

Mehmet Ates et al. Tex Heart Inst J. 2006.

Abstract

A chest radiograph of a 38-year-old woman, who was diagnosed with rheumatic mitral stenosis, revealed cardiac enlargement due to a giant left atrium that was distorting the cardiac structures. The patient's cardiothoracic ratio was approximately 0.90. A giant left atrium can readily be delineated by echocardiography. Optimal timing of surgery is important in cases of mitral stenosis, because delaying mitral valve replacement can lead to fatal outcomes. To our knowledge, the left atrial diameter of 18.7 cm that we found in our patient is the largest reported to date.

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Figures

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Fig. 1 A preoperative chest radiograph shows massive cardiomegaly and pleural fluid in both sides of the thorax.
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Fig. 2 The preoperative transthoracic echocardiogram shows a left atrial diameter of 18.7 cm.
See this image and copyright information in PMC

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