A case of giant left atrium mimicking pleural effusion
Joint Authors
Paul, Rudrajit
Santra, Gouranga
Pradhan, Sourav
Choudhury, Partha Sarathi
Das, Shubhabrata
Source
Issue
Vol. 29, Issue 4 (31 Aug. 2014)3 p.
Publisher
Publication Date
2014-08-31
Country of Publication
Oman
No. of Pages
3
Main Subjects
Abstract EN
Giant left atrium has become rare in present day owing to decreased incidence with earlier diagnosis and treatment of rheumatic mitral valve disease.
Transthoracic ultrasonography is remarkable for clear visualization of giant left atrium with clots.
In the absence of clot, ultrasonography picture could be mistaken for aortic aneurysm.
In severe left atrial enlargement, chest x-ray may be mistaken for pleural/pulmonary mass or rarely pleural effusion.
Ultrasonography and echocardiography may help in diagnosis in such case.
A 52 year old female presented with progressive respiratory distress for last two years.
She had undergone mitral valve replacement (metallic valve) 24 years back for rheumatic mitral stenosis but for last eight years, the patient did not return for follow-up and had discontinued warfarin.
Chest x-ray showed a homogeneous opacity in left hemithorax with obliteration of left costo-phrenic angle suggesting pleural effusion.
An ultrasonography of left hemithorax revealed a giant left atrium with spontaneous echogenicity suggesting multiple large non-organized thrombi.
There was no pleural/pericardial effusion.
Echocardiography also showed a giant left atrium with clots.
American Psychological Association (APA)
Santra, Gouranga& Paul, Rudrajit& Pradhan, Sourav& Choudhury, Partha Sarathi& Das, Shubhabrata. 2014. A case of giant left atrium mimicking pleural effusion. Oman Medical Journal،Vol. 29, no. 4.
https://search.emarefa.net/detail/BIM-831843
Modern Language Association (MLA)
Paul, Rudrajit…[et al.]. A case of giant left atrium mimicking pleural effusion. Oman Medical Journal Vol. 29, no. 4 (2014).
https://search.emarefa.net/detail/BIM-831843
American Medical Association (AMA)
Santra, Gouranga& Paul, Rudrajit& Pradhan, Sourav& Choudhury, Partha Sarathi& Das, Shubhabrata. A case of giant left atrium mimicking pleural effusion. Oman Medical Journal. 2014. Vol. 29, no. 4.
https://search.emarefa.net/detail/BIM-831843
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-831843