Document Detail

Tangential triangular resection: an option to treat the giant left atrium.
MedLine Citation:
PMID:  22437361     Owner:  NLM     Status:  In-Data-Review    
A 21-year-old woman presented with congestive heart failure caused by congenital mitral and tricuspid insufficiency, associated with great left atrium enlargement. Transthoracic echocardiogram revealed heart dextroversion associated with mitral and tricuspid severe insufficiency and left atrium enlargement (14 cm), confirmed by magnetic resonance study. The left atrium was reduced by a tangential triangular resection of the posterior wall, between the pulmonary veins, suturing the edges of the left atrium with bovine pericardium strip reinforcement. Mitral and tricuspid valves were repaired. The postoperative course was uneventful, and the patient was discharged in the 15th postoperative day. A control magnetic resonance study revealed a 50% reduction in left atrium size. Evolution of left atrium resection is excellent, with low recurrence of arrhythmias, embolism, or heart failure.
Pablo M A Pomerantzeff; Carlos M A Brandão; Marco A V Guedes; Noedir A G Stolf
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Innovations (Philadelphia, Pa.)     Volume:  5     ISSN:  1556-9845     ISO Abbreviation:  Innovations (Phila)     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2012-03-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101257528     Medline TA:  Innovations (Phila)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  125-7     Citation Subset:  -    
From the Department of Cardiothoracic Surgery, Heart Institute, University of São Paulo Medical School, São Paulo, Brazil.
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