Department of Cardiovascular Surgery, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Gen Thorac Cardiovasc Surg. 2021 Mar;69(3):546-549. doi: 10.1007/s11748-020-01490-4. Epub 2020 Sep 23.
The giant left atrium is described as an atrium with a diameter of 6.5 cm or larger and which can rarely cause dysphagia by compressing on the esophagus. Left atrial enlargement is usually seen due to mitral valve disease. The most common indication of left atrial volume reduction plasty during mitral valve surgery is the compression symptoms. We performed mitral valve replacement in our case and transformed the giant left atrium into an anatomical chamber with the technique we applied. In this way, we successfully eliminated cardiac and compression symptoms. Cardiac causes of dysphagia are rarely seen, usually, cardiac complaints are more prominent than dysphagia. However, it should be kept in mind in the differential diagnosis. We think that cardiac mortality and morbidity may be prevented with early diagnosis and treatment.
巨大左心房是指直径为 6.5cm 或更大的心房，它很少会因压迫食管而导致吞咽困难。左心房扩大通常是由于二尖瓣疾病引起的。二尖瓣手术中减少左心房容积的最常见指征是压迫症状。在我们的病例中，我们进行了二尖瓣置换，并应用我们的技术将巨大的左心房转变为解剖腔。通过这种方式，我们成功消除了心脏和压迫症状。吞咽困难的心脏病因很少见，通常情况下，心脏症状比吞咽困难更为突出。然而，在鉴别诊断中应牢记这一点。我们认为，早期诊断和治疗可能会预防心脏死亡和发病。
