A Case of Severe Mitral Stenosis, Giant Left Atrium with huge Thrombus and Atrial Fibrillation Managed By Thrombectomy, LA appendage Exclusion & Mitral Valve Replacement
Abstract
Giant left atrium is a condition characterized by huge
enlargement of the left atrium with a diameter more than
6.5cms. It is most commonly associated with long standing
rheumatic mitral valve disease, more commonly mitral
regurgitation or mixed mitral valve disease. Here we present a
49years old male patient, a known case of rheumatic mitral
stenosis, presented with recurrent hemoptysis, atrial
fibrillation associated with giant left atrium containing a 11 ×
10 × 7cms thrombus weighing 650 gms. The patient
underwent successful mitral valve replacement with
thrombectomy and LA appendage exclusion.
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