Apical hypertrophic cardiomyopathy with giant left atrium


Apical hypertrophic cardiomyopathy with giant left atrium

Uygar Cagdas Yuksel; Hurkan Kursaklioglu; Turgay Celik

Departamento de Cardiologia – Faculdade de Medicina – Academia Militar de Medicina Gulhane – Ancara, Turquia

Mailing Address

Key words: Cardiomyopathy, hypertrophic; heart atria; mitral insufficiency.

A 69 year old female patient with apical hypertrophic cardiomyopathy and rheumatic mitral valve disease was scheduled for mitral valve replacement, and underwent a coronary angiography for preoperative evaluation of the coronary arteries. The left ventriculogram revealed a spade deformity (ace of spades) which is typical for apical hypertrophic cardiomyopathy (Fig. 1). No intraventricular or subaortic pressure gradient was present. A giant left atrium due to severe mitral regurgitation was also observed. The mediolateral diameter of the left atrium was 12cm, according to the measurement taken during the transthoracic echocardiography. A giant left atrium is defined as an atrium greater than 8cm and is a typical finding in patients with rheumatic mitral valve disease and severe regurgitation1.


1. Fasseas P, Lee-Dorn R, Sokil AB, VanDecker W. Giant left atrium. Tex Heart Inst J. 2001;28:158-9.

Manuscript received September 6, 2006; revised manuscript received September 6, 2006; accepted September 14, 2006.

  • Mailing Address:
    Uygar Cagdas Yuksel
    Department of Cardiology – Gulhane School of Medicine
    06018 – Etlik – Ankara, Turkey

Publication Dates

  • Publication in this collection
    20 Mar 2007
  • Date of issue
    Feb 2007
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