Átrio gigante, só com doença reumática.

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his photograph was published in the first edition (1931) of Heart Disease. It shows the heart of a patient with a giant left atrium due to predominate mitral regurgitation secondary to rheumatic heart disease. The left atrium held 1760 cc of fluid and the right atrium held 650 cc of fluid. I think this is the same heart that was preserved in a jar in the cardiac museum adjacent to the cardiac conference room in the Massachusetts General Hospital in the late 1940s.
Circulation. 2001;104:2630-2631
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Autor comenta a ausência de atrios gigantes após o controle dos casos de febre reumática.
Nossos alunos de ecocardiografia contam outra história.
Aqui no país, em estados como Pernambuco, Bahia, Mato Grosso,por exemplo, a febre reumática ainda é frequente, e achados de átrios gigantes são comuns!
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