Cases reported "Mitral Valve Stenosis"

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1/8. Thrombosed giant left atrium mimicking a mediastinal tumor.

    A patient with rheumatic heart disease, mitral stenosis, and mitral insufficiency is described. The thrombosed giant left atrium paralyzed the left vocal cord and completely obstructed the bronchi to the middle and lower lobes of the right lung. The giant left atrium mimicked a mediastinal tumor on the chest x-ray film.
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2/8. Giant left atrial thrombus in advanced mitral stenosis diagnosed by echocardiography and multislice CT--case report.

    The paper presents a rare case of the giant left atrial thrombus in the advanced stage of mitral stenosis. The clinical course of the disease was analyzed and the possibilities of imaging the lesions by echocardiography and multi-slice computed tomography were compared.
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3/8. Giant left atrium with rheumatic mitral stenosis.

    A chest radiograph of a 38-year-old woman, who was diagnosed with rheumatic mitral stenosis, revealed cardiac enlargement due to a giant left atrium that was distorting the cardiac structures. The patient's cardiothoracic ratio was approximately 0.90. A giant left atrium can readily be delineated by echocardiography. Optimal timing of surgery is important in cases of mitral stenosis, because delaying mitral valve replacement can lead to fatal outcomes. To our knowledge, the left atrial diameter of 18.7 cm that we found in our patient is the largest reported to date.
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4/8. Giant left atrium--a case report.

    A seventy-seven-year old woman, with mitral stenosis, presented with cardiomegaly evident on her chest roentgenogram. The cardiac enlargement was due to a giant left atrium that distorted the cardiac structures. An echocardiogram and a first-pass nuclear angiogram were able to delineate the huge left atrium.
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5/8. Successful surgical repair in a patient with mitral stenosis, calcified left atrium and severe tricuspid regurgitation with a giant right atrium.

    Successful mitral valve replacement and tricuspid annuloplasty were performed on a 66-year-old woman who had a calcified left atrium, giant right atrium, calcified mural thrombus and normal pulmonary pressures. Successful repair in such cases depends on an adequate preoperative investigation and a surgical approach tailored to the individual.
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6/8. Right ventricular monophasic action potential during quinidine induce marked T and U waves abnormalities.

    An unusual case with quinidine induced marked T and U waves abnormalities of giant size and alternans occuring in sinus rhythm is reported. Right ventricular monophasic action potential recorded during bizzare T and U waves abnormalities showed a marked prolongation of its duration and regressed after the drug was withdrawn.
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7/8. Modified Inoue technique for a patient with giant left atrium.

    negotiating an Inoue balloon catheter into the left ventricle, in the presence of mitral stenosis, can present a problem when carried out on patients with giant left atrium. We report a manoeuvre to overcome this problem by utilizing the reverse double loop of an Inoue balloon catheter in the large left atrial cavity.
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8/8. Transesophageal echocardiography in the detection and surgical management of a papillary fibroelastoma of the mitral valve causing partial mitral valve obstruction.

    Primary mitral valve tumors are rare. We describe the transesophageal appearances of a papillary fibroelastoma (Lambl's giant excrescence) of the anterior mitral valve leaflet causing partial mitral valve obstruction. Transesophageal echocardiography proved particularly useful in identifying the limited attachment of the tumor to the anterior mitral valve leaflet and excluding its attachment to the interatrial septum. These features helped to exclude the possibility of the tumor being a left atrial myxoma, the primary differential diagnosis of the lesion. Transesophageal echocardiography enabled the planned surgical option to be mitral valve repair and also allowed intraoperative monitoring to assess the results of the surgical repair.
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