Mitral valve replacement through a giant left atrial appendage
Rikitake, K.; Minato, N.; Ohnishi, H.; Takedomi, K.
Journal of Cardiovascular Surgery 40(1): 127-129
1999
ISSN/ISBN: 0021-9509 PMID: 10221399 Document Number: 498934
We report a rare case of a 45-year-old male with a giant left atrial appendage (13X10 cm in size) and chronic massive regurgitation at the mitral valve. Massive dilatation was compressing most of the left lower lobe and the large size of the appendage was pushing the mediastinum to the right. Therefore under median sternotomy, the mitral valve was clearly accessible and chordal sparing mitral valve replacement with left atrial plication was successfully performed through the giant left atrial appendage.
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