Reduction plasty for giant left atrium causing dysphagia: a case report

Buğra, Abdul Kerim; Kadiroğulları, Ersin; Onan, Burak

doi:10.1007/s11748-020-01490-4

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…It is thus logical that a strategic part of surgery to eliminate AF must include reduction in size of LA. [16][17][18] L Le ef ft t A At tr ri ia al l R Re ed du uc ct ti io on n P Pl la as st ty y Pak Armed Forces Med J 2023; 73(Suppl-3): S549…”

Section: Discussionmentioning

confidence: 99%

Left Atrial Reduction Plasty and Sinus Rhythm Restoration in patients undergoing Mitral Valve Surgery with Chronic Atrial Fibrillation

Ali,

Nawaz,

Chaudhry

et al. 2023

PAFMJ

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Objective: To assess outcome of Left Atrial reduction plasty and sinus rhythm restoration in patients undergoing Mitral valve surgery with chronic Atrial Fibrillation. Study Design: Longitudinal study. Place and Duration of Study: Adult Cardiac Surgery Unit, Armed Forces Institute of Cardiology/National Institute of Heart Diseases, Rawalpindi Pakistan, from Jan 2017-Jun 2022. Methodology: Thirty three (n=33) patients with mitral valve disease were recruited via convenience sampling, all of whom exhibited an enlarged left atrium and pre-operative Atrial Fibrillation (AF). Pre-operative cardiac evaluations were performed using Transthoracic Echocardiography (TTE). Pre- and post-surgery trans-esophageal echocardiography studies were conducted as a routine procedure. Follow-up echocardiographic assessments were carried out at intervals of 1 month, 3 months, and 6 months, alongside Electrocardiograms (ECGs). During surgery, median sternotomy was done. Cardiopulmonary Bypass (CPB) time was established followed by cardiac arrest. After Mitral valve Repair/Replacement (MVR), Left Atrial (LA) plication was done by a double needle. Results: Out of thirty three (n=33) patients, 25(75.7%) females and 8(24.2%) male patients, with mean age of 44.3±15.5 years, underwent mitral valve surgery(repair/replacement) followed by LA reduction & sinus rhythm restoration procedure. Complete restoration of sinus rhythm with re-appearance of “a” wave on echocardiography, signifying LA transport function through mitral valve was observed in 31(93.9%) patients on 3rd month and only 1(3.0%) individual continued to have persistent AF after 6 months. (83.70±2.50 mm vs. 47.50±1.08 mm) (p<0.001).................. Conclusion: Left atrial reduction by “Plication technique” followed by “Diathermy Fulguration” as a part of mitral valve surgery has yielded ...............

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Section: Discussionmentioning

confidence: 99%

Left Atrial Reduction Plasty and Sinus Rhythm Restoration in patients undergoing Mitral Valve Surgery with Chronic Atrial Fibrillation

Ali,

Nawaz,

Chaudhry

et al. 2023

PAFMJ

View full text Add to dashboard Cite

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Contractile pericarditis-like hemodynamics in dilated-phase hypertrophic cardiomyopathy with giant atrium

Morimoto

Ito

Araki

et al. 2023

Journal of Cardiology Cases

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Extensive Left Atrial Resection and Double Valve Repair for a Patient with Atrial Functional Mitral Regurgitation Associated Giant Left Atrium

et al. 2022

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A 72-year-old woman who had undergone three atrial catheter ablations for chronic atrial fibrillation was referred for surgical treatment for severe atrial functional mitral regurgitation. She suffered not only dyspnea but also dysphagia due to esophagus compression by a giant left atrium 15×12×11 centimeters in size. In her surgery, mitral valve repair using a 36-millimeter artificial ring, tricuspid annuloplasty and resection of the left atrial appendage were performed. In addition, the posterior, lateral, and superior wall of left atrium, 4 centimeters in width, was extensively resected to reduce left atrial volume. Postoperative echocardiography showed a decrease in both mitral and tricuspid regurgitation to trivial levels as well as an improvement in left ventricular diastolic function. Postoperatively her dysphagia disappeared and NYHA class improved from III to I. In her chest X ray, the cardiothoracic ratio fell from 80% to 56%, and the tracheal bifurcation angle decreased from 110 to 90 degrees. In a patient with a giant left atrium due to atrial functional mitral regurgitation, a favorable clinical outcome resulted from double valve repair combined with extensive left atrial resection.

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Reduction plasty for giant left atrium causing dysphagia: a case report

Cited by 3 publications

References 4 publications

Left Atrial Reduction Plasty and Sinus Rhythm Restoration in patients undergoing Mitral Valve Surgery with Chronic Atrial Fibrillation

Left Atrial Reduction Plasty and Sinus Rhythm Restoration in patients undergoing Mitral Valve Surgery with Chronic Atrial Fibrillation

Contractile pericarditis-like hemodynamics in dilated-phase hypertrophic cardiomyopathy with giant atrium

Extensive Left Atrial Resection and Double Valve Repair for a Patient with Atrial Functional Mitral Regurgitation Associated Giant Left Atrium

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