scholarly journals Porcelain Atrium: A Case Report with Literature Review

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Krystle Leacock ◽  
Andre J. Duerinckx ◽  
Bonnie Davis
Keyword(s):  
Left Atrium ◽  
Left Atrial ◽  
Radiographic Imaging ◽  
Atrial Wall ◽  
X Ray ◽  
Left Atrial Wall ◽  
Nigerian Woman ◽  
Wall Calcification ◽  
Noncontrast Ct ◽  
Chest X Ray

Massive left atrial wall calcification, or porcelain atrium, is very rare. We describe a case of an unusual pattern of cardiac calcification demonstrated on routine preoperative chest X-ray for cataract surgery in a 71-year-old Nigerian woman. Past medical history was significant for mitral stenosis and atrial fibrillation. Radiographic imaging revealed curvilinear high density areas of calcification outlining the left atrium on the chest X-ray. Noncontrast CT scan of the thorax confirmed the left atrial distribution of calcification and, thus, the diagnosis of porcelain left atrium.

X-ray Appearance and Clinical Significance of Left Atrial Wall Calcification

1976 ◽  
Vol 11 (6) ◽  
pp. 501-507 ◽  
Author(s):  
Dale R. Shaw ◽  
James T. T. Chen ◽  
Richard G. Lester
Keyword(s):  
Clinical Significance ◽  
Left Atrial ◽  
Atrial Wall ◽  
X Ray ◽  
Left Atrial Wall ◽  
Wall Calcification

scholarly journals A Treatise on the Surgical Management of Porcelain Atrium and Coconut Atrium

2019 ◽  
pp. 16-41
Author(s):  
Ujjwal K. Chowdhury ◽  
Lakshmi Kumari Sankhyan ◽  
Vasubabu Gudala ◽  
Sukhjeet Singh ◽  
Niwin George ◽  
...  
Keyword(s):  
Surgical Management ◽  
Left Atrial ◽  
Surgical Techniques ◽  
Hospital Death ◽  
Atrial Wall ◽  
Cross Sectional ◽  
Left Atrial Wall ◽  
Different Types ◽  
Wall Calcification ◽  
Diagnostic Modalities

The present perspective is a synthesis of 119 published investigations in the setting of porcelain atrium and coconut atrium in the literature. We identified 60 suitable cases (porcelain atrium, n=44; coconut atrium, n=16) from 34 investigations, and reviewed the clinical presentation, diagnostic modalities utilized, surgical techniques employed and outcomes. Roentgenography, cross-sectional transthoracic and transesophageal echocardiography, computerized tomography and fluoroscopy provided the necessary diagnostic information and defined the disease entity before surgery in all patients. Magnetic resonance imaging and selective coronary angiography had been used for further clarification of the presence of intraluminal left atrial thrombus. We then grouped the lesions into two categories, namely “porcelain atrium” and “coconut atrium” that have a bearing on the appropriate surgical approach, discussing appropriate surgical or non-surgical techniques for each group. For the overall group, taking into consideration of the patients subjected to surgical intervention, the operative mortality remains high at 20.6% [porcelain atrium: hospital death 6/30 (20%), coconut atrium: hospital death 1/4 (25%). We submit that an increased appreciation of different types of left atrial wall calcification may well contribute to improved surgical management.

Paroxysmal Postprandial Atrial Fibrilation Suppressed by Laparoscopic Repair of a Giant Paraesophageal Hernia Compressing the Left Atrium

2015 ◽  
Vol 24 (1) ◽  
pp. 113-116 ◽  
Author(s):  
Daniel A. Cristian ◽  
Alin S. Constantin ◽  
Mariana Barbu ◽  
Dan Spătaru ◽  
Traean Burcoș ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Left Atrium ◽  
Laparoscopic Repair ◽  
Left Atrial ◽  
Paraesophageal Hernia ◽  
Surgical Repair ◽  
Atrial Wall ◽  
Left Atrial Wall ◽  
Atrial Fibrilation

We present the case of a patient with a giant paraesophageal hernia associated with paroxysmal postprandial atrial fibrillation that was suppressed after surgery. The imaging investigations showed the intrathoracic displacement of a large part of the stomach, which pushed the left atrial wall causing atrial fibrillation. The laparoscopic surgical repair acted as sole treatment for this condition.

scholarly journals Results of surgical correction of gigantic left atrium

2020 ◽  
Vol 4 (Issue 2) ◽  
pp. 67
Author(s):  
Rustem Tuleutayev ◽  
Daurenbek Urazbekov ◽  
Kuat Abzaliyev ◽  
Baurjan Rakishev ◽  
Nazym Nurollaeva ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Left Atrium ◽  
Left Atrial ◽  
Left Atrial Volume ◽  
Atrial Volume ◽  
X Ray ◽  
Chest X Ray ◽  
Leg Edema ◽  
Tricuspid Valve Annuloplasty ◽  
Left Atrial Dilatation

We presented a clinical case of surgical treatment of gigantic left atrium in longstanding mitral regurgitation due to mitral valve disease diagnosed 23 years ago (patient refused surgery and was on medical treatment) and complicated by atrial fibrillation. The patient was referred for surgery with complaints on severe dyspnea on minimal exertion, weakness, fatigue, palpitations and massive leg edema. Diagnosis was established using electrocardiography, chest X-Ray, transthoracic and transesophageal echocardiography, and computed tomography. The patient underwent mitral valve replacement, tricuspid valve annuloplasty and left atrial reduction surgery (atrioplasty by Kawazoe). After surgery, left atrial volume decreased from 813 ml to 294 ml and antero-posterior size from 11.2 to 6.2 cm. The patient was discharged on 8th day after surgery. Control examinations after 6 months and 1 year showed reduction of left atrial volume (319 ml and 294 ml); patient feels well and has no complaints. Thus, our case demonstrated reduction of left atrium early in postoperative period and its slow reduction after surgery during 1 year. It is also showed human reserve capacity and possibility of left atrial dilatation to such sizes. Late diagnosis of such changes in heart is possibly related to the fact that patient was afraid to see doctors and undergo surgery. The left atrial cavity size determination can be done intraoperatively using method of surgical glove we suggested. 

scholarly journals Diffuse Gallium-67 Accumulation in the Left Atrial Wall Detected Using SPECT/CT Fusion Images

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Kohei Kotani ◽  
Joji Kawabe ◽  
Shigeaki Higashiyama ◽  
Atsushi Yoshida ◽  
Susumu Shiomi
Keyword(s):  
Computed Tomography ◽  
Atrial Fibrillation ◽  
Left Atrium ◽  
Left Atrial ◽  
Emission Computed Tomography ◽  
Atrial Wall ◽  
Left Atrial Wall ◽  
Abnormal Accumulation ◽  
Fusion Images ◽  
Gallium 67

Gallium-67 scintigraphy is useful for detecting active inflammation. We show a 66-year-old female patient with atrial fibrillation and diffuse thickening of the left atrial wall due to acute myocarditis, who presented diffuse abnormal accumulation of gallium-67 in the left atrium on single photon emission computed tomography/computed tomography (SPECT/CT) fusion images. In the second gallium-67 scan 2 months after the first scintigraphy, the abnormal accumulation in the heart was no longer visible. Gallium-67 SPECT/CT images helped understanding the disease condition that temporary inflammation in the left atrium caused atrial fibrillation.

scholarly journals Formation of Low Voltage Zones on the Anterior Left Atrial Wall Due to Mechanical Compression by the Ascending Aorta

2021 ◽  
Author(s):  
Satoshi Hayashida ◽  
Koichi Nagashima ◽  
Sayaka Kurokawa ◽  
Masaru Arai ◽  
Ryuta Watanabe ◽  
...  
Keyword(s):  
Left Atrial ◽  
Low Voltage ◽  
Ascending Aorta ◽  
Mechanical Compression ◽  
Atrial Wall ◽  
Left Atrial Wall
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