Have you seen an atrium bigger than this?

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Presentation transcript:

Have you seen an atrium bigger than this? Khaled E. Al-Ebrahim, MBBCh, FRCSC The Journal of Thoracic and Cardiovascular Surgery Volume 145, Issue 3, Pages 874-875 (March 2013) DOI: 10.1016/j.jtcvs.2012.10.023 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Preoperative chest radiographs. A, The posteroanterior view demonstrates the huge left atrium, the double contour, and the prominent pulmonary trunk. A small part of the anterior pulmonary segment, above the right main bronchus, was dysplastic and so it was excised. B, The lateral view demonstrates the left atrium extending posterior to the paravertebral gutter. The Journal of Thoracic and Cardiovascular Surgery 2013 145, 874-875DOI: (10.1016/j.jtcvs.2012.10.023) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Preoperative echocardiogram shows the huge volume of 755 mL. The transverse diameter of 21 cm was measured intraoperatively, because it was difficult to capture the whole left atrium in a single view. The Journal of Thoracic and Cardiovascular Surgery 2013 145, 874-875DOI: (10.1016/j.jtcvs.2012.10.023) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Postoperative posteroanterior (A) and lateral (B) chest radiographs demonstrate the marked reduction in the left atrial size and the pulmonary artery trunk. The Journal of Thoracic and Cardiovascular Surgery 2013 145, 874-875DOI: (10.1016/j.jtcvs.2012.10.023) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions