A Giant Left Atrium in rheumatic mitral disease: beyond a simple adaptive mechanism: a case report

Giant left atrium, rheumatic mitral disease, atrial fibrillation, compression, plication.

Authors

  • Soumia FAID Cardiology department, Mohamed V training Military hospital, Mohammed V University, Rabat – Morocco
  • Hanane Kherbouche Cardiology department B, Ibn Sina Hospital Center, Mohammed V University, Rabat – Morocco
  • Meryem Nadif Cardiology department, Mohamed V training Military hospital, Mohammed V University, Rabat – Morocco
  • Amina Samih Cardiology department B, Ibn Sina Hospital Center, Mohammed V University, Rabat – Morocco
  • Mohamed Cherti Cardiology department B, Ibn Sina Hospital Center, Mohammed V University, Rabat – Morocco
May 6, 2021
May 10, 2021

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Giant left atrium is a condition characterized by an extreme enlargement of the left atrium with a diameter more than 80 mm and it is usually associated with long standing rheumatic mitral valve disease. We present a case of giant left atrium in a 47-year-old female patient who had a history of rheumatic heart disease, severe mitral disease, permanent atrial fibrillation and causing the compression of adjacent intra-thoracic structures. The patient underwent a successful mitral valve replacement with reduction of the enlarged sized left atrium with good outcomes.

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