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Eur J Cardiothorac Surg 2001;20:412-414
© 2001 Elsevier Science NL

How to do it

A novel technique for giant left atrium reduction

Department of Cardiac Surgery, University of Rome "La Sapienza", Rome, Italy

Received 12 February 2001; received in revised form 27 April 2001; accepted 15 May 2001.

Corresponding author. Istituto di Cardiochirurgia, Policlinico Umberto I, Università "La Sapienza", Viale del Policlinico 155, 00161 Rome, Italy. Tel.: +39-06-4997-2659; fax: +39-06-445-3891
e-mail: riccardosinatra{at}uniroma1.it

We herein describe a safe and reproducible technique for left atrial volume reduction in patients with a giant left atrium. In a 56-year-old patient undergoing redo mitral valve replacement, the left atrium measured 18x20x17 cm occupying the middle-lower segment of the right hemithorax with compression of the adjacent organs. The left atrial volume was reduced by triangular resections of the atrial wall and the mitral valve was replaced using a mechanical prosthesis. The postoperative course was uneventful and the left atrial diameter was 11.2 cm at the latest control.

Key Words: Atriomegaly • Left atrial reduction • Mitral valve replacement

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