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A Case of Severe Mitral Stenosis, Giant Left Atrium with huge Thrombus and Atrial Fibrillation Managed By Thrombectomy, LA appendage Exclusion & Mitral Valve Replacement

Elavarasan C, Anand Kumar V, Siva Sankar .

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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