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Gargantuan Left Atrium: A Sequela of Mitral Regurgitation and Mitral Stenosis
Authors:Brian T Omslaer BA
Affiliation:1. Center for Cardiovascular Magnetic Resonance Imaging, The Gerald McGinnis Cardiovascular Institute, Allegheny General Hospital, Pittsburgh, Pennsylvania;2. Washington and Jefferson College, Washington, Pennsylvania
Abstract:Cardiac magnetic resonance imaging and echocardiography revealed a gargantuan left atrium measuring 18.9 cm × 15.7 cm × 11.3 cm in a 56‐year‐old patient diagnosed with severe rheumatic mitral stenosis, severe pulmonary hypertension, and permanent atrial fibrillation. A chest x‐ray also revealed a cardiothoracic ratio approaching 1.0 and a transthoracic echocardiogram measured diameters as large as 19.2 cm. The patient then underwent mitral valve replacement and left atrial reduction surgery and has had no further admissions or complications.
Keywords:left atrium  mitral stenosis  mitral regurgitation  cardiac MRI  echocardiography
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