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Paediatric ischaemic stroke as the first manifestation of a giant left atrium: a case report

Published online by Cambridge University Press:  08 August 2025

María Cecilia Martínez Morales Open the ORCID record for María Cecilia Martínez Morales [Opens in a new window] ,
Miguel Angel Martínez Cárdenas Open the ORCID record for Miguel Angel Martínez Cárdenas [Opens in a new window] ,
Marco Antonio Ruiz Ontiveros Open the ORCID record for Marco Antonio Ruiz Ontiveros [Opens in a new window]  and
Iván Guillermo Jiménez Delgado
María Cecilia Martínez Morales*
Affiliation:
Instituto Mexicano del Seguro Social, UMAE 48, León, Guanajuato, México
Miguel Angel Martínez Cárdenas
Affiliation:
Instituto Mexicano del Seguro Social, UMAE 48, León, Guanajuato, México
Marco Antonio Ruiz Ontiveros
Affiliation:
Instituto Mexicano del Seguro Social, UMAE 48, León, Guanajuato, México
Iván Guillermo Jiménez Delgado
Affiliation:
Instituto Mexicano del Seguro Social, HGR 58, León, Guanajuato, México
*
Corresponding author: María Cecilia Martínez Morales; Email: m.ceciliamtz.m@gmail.com
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Abstract

Giant left atrium is extremely rare in the paediatric population, especially in asymptomatic cases. We report a 5-year-old child with a giant left atrium due to “non-rheumatic” mitral valve regurgitation that presented as a stroke secondary to atrial tachycardia. This case is noteworthy for the unusual “silent” manifestation of a giant left atrium.

Keywords

giant left atriumpaediatric ischaemic strokethrombus

Information

Type
Case Report
Information
Cardiology in the Young , First View , pp. 1 - 3
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Copyright
© The Author(s), 2025. Published by Cambridge University Press

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References

Muthiah, R. Rheumatic Giant Left Atrium—An overview. Clin Med Case Rep 2017; 6: 164–195. doi: 10.4236/crcm.2017.66017.Google Scholar
Hurst, JW. Memories of patients with a giant left atrium. Circulation 2001; 104: 2630–2631. doi: 10.1161/hc4701.100775.CrossRefGoogle ScholarPubMed
Oh, JK. Echocardiographic evaluation of morphological and hemodynamic significance of giant left atrium. An important lesson. Circulation. 1992; 86(1): 328–330. doi: 10.1161/01.cir.86.1.328.CrossRefGoogle ScholarPubMed
Kar, Sibashankar, Joshi, R, Joshi, RK, Aggarwal, N, Mridul, A. Giant left atrium in a 14-month-old child with compression of airways. Ann Thorac Surg. 2019; 107(5): e311–e312. doi: 10.1016/j.athoracsur.2018.08.081.CrossRefGoogle Scholar
Piccoli, GP, Massini, C, Di Eusanio, G, et al. Giant left atrium and mitral valve disease: early and late results of surgical treatment in 40 cases. J Cardiovasc Surg 1984; 25: 328–336.Google ScholarPubMed
Badui, E, Delgado, C, Enciso, R, et al. Silent giant left atrium. A case report. Angiology 1995; 46: 445–448. doi: 10.1177/000331979504600513.CrossRefGoogle ScholarPubMed
El Maghraby, A, Hajar, R. Giant left atrium: a review. Heart Views 2012; 13: 46–52. doi: 10.4103/1995-705X.99227.CrossRefGoogle ScholarPubMed
Singh, D, Mukherjee, A, Kumar, S, Gupta, SK. Giant left atrium in a infant with origin of left coronary artery from pulmonary artery. Indian J Radiol Imaging 2024; 35(2): 343–345. doi: 10.1055/s-0044-1791747.Google Scholar
Apostolakis, E, Shuhaiber, JH. The surgical management of giant left atrium. Eur J Cardio-Thorac Surg 2007; 33: 182–190.Google ScholarPubMed