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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1768604PMC
http://dx.doi.org/10.1136/hrt.2003.032698DOI Listing

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We herein report a 61-year-old woman with a history of mitral valve replacement for rheumatic fever who presented with crural edema and ascites. Computed tomography showed massive left atrial (LA) calcification involving the interatrial septum, termed "coconut atrium." Catheterization revealed not only pulmonary artery hypertension but also a large V-wave in the pulmonary artery wedge pressure waveform and a dip-and-plateau pattern of right ventricular pressure.

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A rare case of stiff left atrial syndrome caused by both coconut left atrium and vertebral compression: a case report.

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Division of Cardiovascular Medicine, Japan Community Healthcare Organization, Kobe Central Hospital, 2-1-1, Souyama-cho, kita-ku, Kobe, Japan.

Background: Calcification of the left atrium (LA) is a rare condition and can be the result of long-standing rheumatic mitral stenosis or an unusual complication after mitral valve replacement. Cases of massive LA calcification have sometimes been referred to as those with 'coconut LA' or 'porcelain LA'.

Case Summary: A 75-year-old woman was referred to our hospital because of chest discomfort and exertional dyspnoea.

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