Kempmann G, Schaumann H J, Hoppenrath H
Rofo. 1975 Jan;122(1):38-42. doi: 10.1055/s-0029-1230017.
Calcification in the wall of the left atrium is a certain sign of rheumatic heart disease; in nearly all cases it is associated with combined mitral valve disease and auricular fibrillation. The cause of the calcification is probably repeated attacks of endocarditis. Similar to the cases described in the literature, four out of five our own patients were in the end-stages of chronic rheumatic heart disease. In four patients there was clinical evidence of mitral valve disease, whereas in the fifth patient, the clinical findings suggested a ventricular septal defect. Calcification in the dilated left atrium indicated the presence of an additional mitral valve abnormality. The typical appearances of atrial calcification are illustrated. The importance of its pre-operative demonstration is discussed on the basis of the relevant literature.
左心房壁钙化是风湿性心脏病的明确体征；几乎在所有病例中，它都与二尖瓣联合病变及心房颤动有关。钙化的原因可能是心内膜炎反复发作。与文献中描述的病例相似，我们自己的5例患者中有4例处于慢性风湿性心脏病终末期。4例患者有二尖瓣病变的临床证据，而第5例患者的临床检查结果提示室间隔缺损。扩张的左心房内的钙化表明存在额外的二尖瓣异常。文中展示了心房钙化的典型表现。并根据相关文献讨论了术前显示钙化的重要性。
