ArticleJACC. Case reports2026
Progressive Giant Left Atrium After Valve Surgery With Preserved Hemodynamics.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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7 authors.
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Abstract
backgroundGiant left atrium (GLA) is a rare complication of rheumatic heart disease that may continue to enlarge despite successful valve surgery. CASE SUMMARY: A 69-year-old man with rheumatic valvular disease and previous mechanical mitral and aortic valve replacement developed progressive GLA and heart failure symptoms. Redo aortic valve replacement was performed for prosthetic dysfunction. Long-term follow-up demonstrated progressive atrial enlargement (indexed left atrial volume up to 1,172 mL/m DISCUSSION: GLA is typically associated with pulmonary hypertension and heart failure progression. This case is notable for extreme progressive atrial remodeling over 2 decades despite correction of the underlying valve disease, while preserving pulmonary hemodynamics and ventricular function. TAKE-HOME MESSAGES: Progressive GLA may remain compatible with prolonged survival after successful valve surgery when ventricular function and pulmonary hemodynamics are preserved. Long-term multimodality imaging and invasive hemodynamic assessment are essential for patient management.
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