Journal of Echocardiography

, Volume 15, Issue 4, pp 197–198 | Cite as

A case of atrial cardiomyopathy in a patient with rheumatic heart disease with massive left atrial calcification

  • Megumi Shimada
  • Makoto Akaishi
  • Atsuko Hara
Case image in cardiovascular ultrasound


Compliance with ethical standards

Conflict of interest

Megumi Shimada and Atsuko Hara declare that they have no conflicts of interest. Makoto Akaishi received lecture fees from Actelion Pharmaceutical Ltd., Daiichi Sankyo Co., Ltd., and research funding from Daiichi Sankyo Co., Ltd.

Human rights statements

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later revisions.

Informed consent

Informed consent was obtained from patient’s next-of-kin for being included in the study.


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    Onishi T, Idei Y, Otsui K, et al. Coconut atrium in long-standing rheumatic valvular heart disease. Am J Case Rep. 2015;16:191–5.CrossRefPubMedPubMedCentralGoogle Scholar
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    Anandan PK, Shukkarbhai PJ, Manjunath CN. Coconut atrium. Eur Heart J Cardiovasc Imaging. 2015;16:814.CrossRefPubMedGoogle Scholar
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    Shiba M, Sugano Y, Ikeda Y, et al. Pathohistological evidence of smoldering inflammation in rheumatic heart disease with massive left atrial calcification. Intern Med. 2016;55:751–4.CrossRefPubMedGoogle Scholar
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    Goette A, Kalman JM, Aguinaga L, et al. EHRA/HRS/APHRS/SOLAECE expert consensus on atrial cardiomyopathies: definition, characterization, and clinical implication. J Arrhythm. 2016;32:247–78.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Japanese Society of Echocardiography 2017

Authors and Affiliations

  1. 1.Department of Internal MedicineTokai University Oiso HospitalNakagunJapan
  2. 2.Department of CardiologyTokai University Tokyo HospitalTokyoJapan
  3. 3.Department of PathologyKitasato Institute Hospital, Kitasato UniversityTokyoJapan

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