Porcelain left atrium

Porcelain left atrium, also known as coconut left atrium, is a term used when a large part of or the entire left atrial wall becomes calcified. It can occur as a rare consequence of endocarditis (with underlying rheumatic heart disease). It has also been described in the setting of end stage renal disease 5.

There is a slightly greater female predilection.

Some patients may present with longstanding symptoms although others may be asymptomatic. A concurrent presence of atrial fibrillation and a past history of mitral valve surgery is common.

It may require an endoatriectomy at the time of valve replacement 2.

It was initially described by H Claude and P Levaditi in 1898 8

If it involves only the posterior free wall consider

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Article information

rID: 31650
System: Cardiac
Sections: Gamuts, Signs
Tag: cases
Synonyms or Alternate Spellings:
  • Porcelain left atria
  • Coconut left atrium

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