Abstract
A 63-year-old woman with a significant history of rheumatic mitral stenosis/regurgitation, tricuspid regurgitation, atrial fibrillation, and giant left atrium (LA; 90 mm in diameter) underwent mitral valve replacement with a mechanical valve, tricuspid annuloplasty, and LA appendage closure. The mitral valve was approached by a conventional left atriotomy from the right side of the LA. The postoperative course was uneventful initially, and the patient was extubated on postoperative day 1. On postoperative day 2, however, acute hemodynamic deterioration occurred that required reintubation and a high dose of inotropes. Transthoracic echocardiography showed a large mass in the LA that occupied almost the entire LA cavity (Figure …
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