Unilateral breast oedema in a case of non-rheumatic giant left atrium.
Giant left atrium (GLA) is a well-described entity in association with rheumatic heart disease. However, mitral valve prolapse is an extremely unusual cause of GLA, especially without the compressive symptoms it can often accompany. We discuss a case of a 78-year-old lady with no prior history of rheumatic heart disease with these findings with the unusual presentation of accompanied unilateral breast oedema as a manifestation of heart failure. This case illustrates the investigations and treatment options for GLA and the need for prompt assessment as it increases the risk of sudden death; therefore, its presence warrants careful evaluation and surgical intervention when appropriate.
Jani
Meghna
M
ST2 General Medicine, Salford Royal University Teaching Hospital, Manchester M6 8HD, UK. meghna.jani@doctors.org.uk
Biswas
Chandan
C
D000368:Aged; D001941:Breast Diseases / Q000209:etiology*; D006332:Cardiomegaly / Q000150:complications* / Q000000981:diagnostic imaging; D004487:Edema / Q000209:etiology*; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging; D006801:Humans; D008945:Mitral Valve Prolapse / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed