title: Mitral valve replacement through a giant left atrial appendage.
abstract: We report a rare case of a 45-year-old male with a giant left atrial appendage (13x10 cm in size) and chronic massive regurgitation at the mitral valve. Massive dilatation was compressing most of the left lower lobe and the large size of the appendage was pushing the mediastinum to the right. Therefore under median sternotomy, the mitral valve was clearly accessible and chordal sparing mitral valve replacement with left atrial plication was successfully performed through the giant left atrial appendage.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Fukuoka Tokushukai Hospital, Kasuga City, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Rikitake
authors.forename: N
authors.initials: N
authors.lastname: Minato
authors.forename: H
authors.initials: H
authors.lastname: Ohnishi
authors.forename: K
authors.initials: K
authors.lastname: Takedomi
mesh_terms: D000328:Adult; D002908:Chronic Disease; D006325:Heart Atria / Q000002:abnormalities*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed