Giant left atrium with rheumatic mitral stenosis

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 delineat...

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Bibliographic Details
Published in:Texas Heart Institute journal 2006, Vol.33 (3), p.389-391
Main Authors: Ates, Mehmet, Sensoz, Yavuz, Abay, Gunseli, Akcar, Murat
Format: Article
Language:English
Subjects:
Adult
Cardiomegaly - diagnostic imaging
Cardiomegaly - etiology
Case Report
Fatal Outcome
Female
Heart Atria - diagnostic imaging
Heart Atria - pathology
Heart Valve Prosthesis Implantation
Humans
Mitral Valve Stenosis - complications
Mitral Valve Stenosis - pathology
Mitral Valve Stenosis - surgery
Radiography
Rheumatic Heart Disease - complications
Rheumatic Heart Disease - pathology
Ultrasonography
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Summary: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.
ISSN:0730-2347