Left atrial reduction plasty: a novel technique

Corey Adams; Gian-Marco Busato; Michael W A Chu

doi:10.1016/j.athoracsur.2011.11.013

Left atrial reduction plasty: a novel technique

Ann Thorac Surg. 2012 Mar;93(3):e77-9. doi: 10.1016/j.athoracsur.2011.11.013.

Authors

Corey Adams¹, Gian-Marco Busato, Michael W A Chu

Affiliation

¹ Division of Cardiac Surgery, Department of Surgery, Schulich School of Medicine, University of Western Ontario, Lawson Health Research Institute, London, Ontario, Canada.

PMID: 22365023
DOI: 10.1016/j.athoracsur.2011.11.013

Abstract

We describe a novel technique of left atrial volume reduction in a patient presenting with severe dyspnea from severe mitral insufficiency, giant left atrium, and compressive symptoms of dysphagia and dysphonia. Resection involved circumferential excision of the left atrium anterior to the pulmonary venous vestibule and posterior to the mitral valve and fossa ovalis, including the left atrial appendage. A chordal-sparing bioprosthetic mitral valve replacement, tricuspid valve annuloplasty, and coronary bypass were also performed. Significant reduction of left atrial volume by 50% was achieved and clinical resolution of compressive symptoms was seen at 6-month follow-up.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Cardiac Surgical Procedures / methods
Female
Heart Atria / pathology*
Heart Atria / surgery*
Humans
Organ Size