HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Kaan Kirali Mustafa Güler Ömer Iik Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Erdoan, H. B. Articles by Yakut, C. Search for Related Content PubMed Articles by Erdoan, H. B. Articles by Yakut, C. Related Collections Cardiac - other

Volume Reduction Procedures in Giant Left Atrium

Hasan Basri Erdoan, MD, Gökhan Ipek, MD, Kaan Kirali, MD, Suat Nail Ömerolu, MD, Mustafa Güler, MD, Ömer Iik, MD, Cevat Yakut, MD

Department of Cardiovascular Surgery Kouyolu Heart and Research Hospital Istanbul, Turkey
For reprint information contact: Hasan Basri Erdoan, MD Tel: 90 216 325 5457 Fax: 90 216 339 0441 email: kosuyolu{at}superonline.com Department of Cardiovascular Surgery, Kouyolu Heart and Research Hospital, Kadiköy, Istanbul 81020, Turkey.

Partial left atrial resection was performed in 8 males and 12 females, aged 19 to 63 years, with giant left atrium and mitral valve disease. Preoperatively, 18 patients had atrial fibrillation, and 2 had normal sinus rhythm. Echocardiography revealed left atrial thrombosis in 3 patients and spontaneous echo contrast in 5. The lateral wall of the left atrium, the region between the pulmonary veins, the roof of the atrium, and the tissue parallel to the mitral annulus were resected. Resection was performed using the cardiac autotransplantation technique in 6 patients. The mitral valve was replaced in 9 patients and reconstructed in 11. Mean aortic crossclamp time was 101 ± 35 minutes and total perfusion time was 135 ± 26 minutes. Mean follow-up was 20.4 ± 1.1 months. There was no operative mortality. One patient (5%) died suddenly in the late postoperative period. Left atrial volume was reduced from 265.3 ± 125 mL to 83 ± 43 mL (p < 0.01). Left atrial diameter decreased from 8.02 ± 1.31 cm to 4.4 ± 1.23 cm (p < 0.01). Sinus rhythm was detected in 13 patients (65%) postoperatively. No left atrial thrombosis or spontaneous echo contrast were found during follow-up. Statistically significant reductions in cardiac size and improvements in functional capacity were observed.

This article has been cited by other articles:

				V. Kutay, K. Kirali, H. Ekim, and C. Yakut Effects of Giant Left Atrium on Thromboembolism after Mitral Valve Replacement Asian Cardiovasc Thorac Ann, June 1, 2005; 13(2): 107 - 111. [Abstract] [Full Text] [PDF]

				H. B Erdogan, K. Kirali, S. N Omeroglu, D. Goksedef, O. Isik, and C. Yakut Partial Cardiac Autotransplantation for Reduction of the Left Atrium Asian Cardiovasc Thorac Ann, June 1, 2004; 12(2): 111 - 114. [Abstract] [Full Text] [PDF]

				O. A Garcia-Villarreal Left Atrial Reduction: Isolation of the Pulmonary Veins Asian Cardiovasc Thorac Ann, June 1, 2002; 10(2): 198 - 198. [Full Text] [PDF]