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| A PICTURE IS WORTH A THOUSAND WORDS |
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| Year : 2015 | Volume
: 16
| Issue : 4 | Page : 168 |
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"Puffing" left atrium in a smoker!
Surender Deora, Sanjay Shah, Tejas Patel
Department of Cardiovascular Sciences, Sheth Vadilal Sarabhai General Hospital, Smt. Nathiba Hargovandas Lakhmichand Municipal Medical College, Gujarat University, Ahmedabad, Gujarat, India
| Date of Web Publication | 18-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
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1995-705X.172216
How to cite this article:
Deora S, Shah S, Patel T. "Puffing" left atrium in a smoker!. Heart Views 2015;16:168 |
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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[Figure 1], [Figure 2]
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