Congenital giant left atrium with severe mitral valve regurgitation

Abstract EN

three-month-old male infant presented to the Royal Hospital, Muscat, Oman in April 2014 following two episodes of pneumonia.

On presentation, the patient was not dysmorphic; however, he was tachycardic and tachypnoeic with severe respiratory distress.

A pansystolic murmur was heard in his apex, radiating to the axilla.

A chest examination showed bilateral wheezing and scattered crepitations.

An abdominal examination revealed a soft abdomen with hepatomegaly (liver span of 12 cm), situated 4 cm below the right costal margin