Giant left atrium in 72 year old male

Abstract

A 72-year-old male immigrant from Iran with cardiac history remarkable for hypertension presented with worsening dyspnea and fatigue over the past two years. A transthoracic Echocardiography (Echo) (Fig. 1) showed severe mitral regurgitation with mitral annular and valve calcifications, moderate aortic and tricuspid regurgitation with massive left atrium (LA) enlargement. A cardiac computed tomography angiography (CCTA) was performed with a 64-slice Lightspeed VCT scanner (General Electric Healthcare, Milwaukee, WI-USA) to evaluate for mitral valve replacement and possible LA reduction surgery (Fig. 2A, B, C).