Giant Left Atrium Needed Negative Pressure Ventilation

Erez Kachel, Hartzell V. Schaff, Fuad Moussa, Sergey Preisman, Ehud Ranani, Leonid Sternik

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Giant left atrium (GLA) is seen in a variety of cardiac conditions. The GLA is diagnosed by combining the patient's history, physical examination, and imaging techniques, along with a computed tomographic chest scan, echocardiogram, and barium swallow test. We recently operated on a severely symptomatic 71-year-old woman with GLA (135 mm × 192 mm). We were forced to anesthetize her with negative pressure ventilation before connecting to the cardiopulmonary bypass circuit. Her postoperative course and long-term follow-up were uneventful. The procedure for GLA reduction is safe, even in very high-risk patients. Negative pressure ventilation may be used successfully as a bridge to cardiopulmonary bypass in certain cases.

Original languageEnglish (US)
Pages (from-to)269-271
Number of pages3
JournalAnnals of Thoracic Surgery
Volume89
Issue number1
DOIs
StatePublished - Jan 1 2010

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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