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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 1999 February;40(1):127-9

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Mitral valve replacement through a giant left atrial appendage

Rikitake K., Minato N., Ohnishi H., Takedomi K.

From the Department of Thoracic and Cardiovascular Surgery Fukuoka Tokushukai Hospital, Fukuoka, Japan * Division of Cardiology Izuhara Hospital, Tsushima, Japan


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We report a rare case of a 45-year-old male with a giant left atrial appendage (13×10 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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