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
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.
Uygar Cagdas YukselDepartment of Cardiology Gulhane School of Medicine06018 Etlik Ankara, TurkeyE-mail:
Publication in this collection
20 Mar 2007
Date of issue