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European Journal of Echocardiography 2008 9(1):190-191; doi:10.1016/j.euje.2007.08.002
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org

Acquired accessory left atrium

Mohammad Bagher Sharifkazemi, Reza Mollazadeh*, Mahmood Zamirian and Ali Reza Moaref

Cardiology Department, Nemazee Hospital, Shiraz University of Medical Science, Zand Avence, P.O. Box: 71435-1414, Shiraz, Iran

Received 21 June 2007; accepted after revision 5 August 2007; online publish-ahead-of-print 8 October 2007.

* Corresponding author. Tel: +98 917 313 3749; fax: +98 711 6261089. E-mail address: mollazar{at}yahoo.com


   Abstract

The patient was a 61-year-old woman brought to our hospital due to dyspnea and lower extremity swelling in shock state three weeks after mitral valve replacement due to rheumatic mitral regurgitation. Cardiothoracic examination revealed bilateral diffuse rales, metallic first heart sound and a loud holo systolic murmur in apex with radiation to axilla. Transesophageal echocardiography revealed a large echo lucent area representing a separate chamber in the lateral part of left atrium which communicates with left ventricle through a relatively large orifice far from normal functioning prosthesis. In operation left atrial dissection was confirmed but the patient did not wean from cardiopulmonary bypass and died on the operating table.

Keywords: Dissection; Left atrium; Mitral valve surgery complication; Transesophageal echocardiography


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