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A PICTURE IS WORTH A THOUSAND WORDS
Year : 2015  |  Volume : 16  |  Issue : 4  |  Page : 168  

"Puffing" left atrium in a smoker!


Department of Cardiovascular Sciences, Sheth Vadilal Sarabhai General Hospital, Smt. Nathiba Hargovandas Lakhmichand Municipal Medical College, Gujarat University, Ahmedabad, Gujarat, India

Date of Web Publication18-Dec-2015

Correspondence Address:
Surender Deora
Department of Cardiovascular Sciences, Sheth Vadilal Sarabhai General Hospital, Smt. Nathiba Hargovandas Lakhmichand Municipal Medical College, Gujarat University, Ahmedabad - 380 006, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1995-705X.172216

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How to cite this article:
Deora S, Shah S, Patel T. "Puffing" left atrium in a smoker!. Heart Views 2015;16:168

How to cite this URL:
Deora S, Shah S, Patel T. "Puffing" left atrium in a smoker!. Heart Views [serial online] 2015 [cited 2018 Aug 14];16:168. Available from: http://www.heartviews.org/text.asp?2015/16/4/168/172216

A 42-years-old male smoker presented with progressive dyspnea and palpitation. 12-lead electrocardiogram revealed atrial fibrillation with controlled ventricular rate. Transthoracic two-dimensional (2D) echocardiography revealed severe aortic and mitral stenosis with dense swirling spontaneous echo contrast (SEC) in dilated left atrium. This SEC in left atrium was 'puffed' intermittently into left ventricle in this smoker patient. Patient was treated medically and after stabilization was referred for surgical intervention [Figure 1] adn [Figure 2].
Figure 1: Transthoracic echocardiogram in apical four-chamber view revealing dilated left atrium with spontaneous echo contrast "puffed" (encircled) through stenotic mitral valve

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Figure 2: Transthoracic echocardiogram in parasternal long-axis view revealing dilated left atrium with spontaneous echo contrast "puffed" (encircled) through stenotic mitral valve

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    Figures

  [Figure 1], [Figure 2]



 

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