A 62-year-old woman who had undergone mitral valve replacement 24 years ago was admitted to the hospital with congestive heart failure. She needed heart transplantation for stage D heart failure. Preoperative cardiac computed tomographic scans showed a severely calcified left atrium and a large right atrium. Given that the left atrium's calcification was too severe to suture, the calcified left atrial wall was broadly resected, and the resected left atrial wall was reconstructed with a bovine pericardial patch for anastomosis with the donor's left atrial wall. The operation was completed without heavy bleeding, and the patient was discharged from the hospital with no complications.
Keyphrases
- left atrial
- mitral valve
- atrial fibrillation
- left ventricular
- catheter ablation
- heart failure
- left atrial appendage
- vena cava
- inferior vena cava
- pulmonary artery
- cardiac resynchronization therapy
- lymph node
- healthcare
- case report
- chronic kidney disease
- pulmonary hypertension
- early onset
- adverse drug
- computed tomography
- rheumatoid arthritis
- prognostic factors
- emergency department
- patients undergoing
- magnetic resonance imaging
- pulmonary embolism
- drug induced
- risk factors
- pulmonary arterial hypertension
- electronic health record