{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T21:43:38Z","timestamp":1753739018821,"version":"3.37.3"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T00:00:00Z","timestamp":1723507200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T00:00:00Z","timestamp":1723507200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Egypt Heart J"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Rheumatic heart disease (RHD) continues to pose a significant burden on global health, particularly in socioeconomically disadvantaged populations. We present the case of a 38-year-old woman with severe multivalvular RHD and giant atria, highlighting the challenges and complexities of managing this condition.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>The patient presented with progressively worsening dyspnoea, signs of right heart failure, and severe valvular abnormalities. Diagnostic evaluations revealed severe mixed mitral valve disease in the form of mitral stenosis and regurgitation, along with involvement of the aortic and tricuspid valves, leading to significant enlargement of both atria. Despite facing socioeconomic constraints and poor adherence to treatment, the patient underwent successful surgical intervention, resulting in remarkable symptomatic improvement.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Through this case, we emphasise the importance of early detection, comprehensive management strategies, and multidisciplinary care in addressing the complexities of RHD. Despite the challenges posed by socioeconomic disparities, positive outcomes can be achieved with timely diagnosis and appropriate intervention. This case underscores the need for targeted efforts to improve access to healthcare resources and reduce the global burden of RHD.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s43044-024-00538-7","type":"journal-article","created":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T09:02:20Z","timestamp":1723539740000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Giant right and left atrium: spectrum of rheumatic triple valve disease (double hit with double impact): a case report and review of the literature"],"prefix":"10.1186","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6228-6599","authenticated-orcid":false,"given":"Uma Devi","family":"Karuru","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadanand Reddy","family":"Tummala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paladugu Srinivas","family":"Gautam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Naveen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiran Kumar","family":"Kanjerla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sai Kumar","family":"Mysore","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,8,13]]},"reference":[{"issue":"3","key":"538_CR1","doi-asserted-by":"publisher","first-page":"320","DOI":"10.1016\/j.ihj.2014.03.010","volume":"66","author":"CN Manjunath","year":"2014","unstructured":"Manjunath CN, Srinivas P, Ravindranath KS, Dhanalakshmi C (2014) Incidence and patterns of valvular heart disease in a tertiary care high-volume cardiac center: a single center experience. Indian Heart J 66(3):320\u2013326","journal-title":"Indian Heart J"},{"key":"538_CR2","doi-asserted-by":"publisher","first-page":"2630","DOI":"10.1161\/hc4701.100775","volume":"104","author":"JW Hurst","year":"2001","unstructured":"Hurst JW (2001) Memories of patients with a giant left atrium. Circulation 104:2630\u20132631","journal-title":"Circulation"},{"key":"538_CR3","doi-asserted-by":"publisher","first-page":"885","DOI":"10.1016\/S0022-5223(19)37479-3","volume":"85","author":"K Kawazoe","year":"1983","unstructured":"Kawazoe K, Beppu S, Takahara Y, Nakajima N, Tanaka K, Ichihashi K et al (1983) Surgical treatment of giant left atrium combined with mitral valvular disease. Plication procedure for reduction of compression to the left ventricle, bronchus, and pulmonary parenchyma. J Thorac Cardiovasc Surg 85:885\u2013892","journal-title":"J Thorac Cardiovasc Surg"},{"key":"538_CR4","doi-asserted-by":"publisher","first-page":"1032","DOI":"10.1016\/j.jtcvs.2004.10.037","volume":"129","author":"K Bando","year":"2005","unstructured":"Bando K, Kasegawa H, Okada Y, Kobayashi J, Kada A, Shimokawa T et al (2005) Impact of preoperative and postoperative atrial fibrillation on outcome after mitral valvuloplasty for nonischemic mitral regurgitation. J Thorac Cardiovasc Surg 129:1032\u20131040","journal-title":"J Thorac Cardiovasc Surg"},{"key":"538_CR5","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1016\/j.jccase.2020.11.022","volume":"24","author":"BN Pandit","year":"2020","unstructured":"Pandit BN, Aggarwal P, Subramaniyan S, Gujral JS, Nath RK (2020) Largest giant left atrium in rheumatic heart disease. J Cardiol Cases 24:10\u201313","journal-title":"J Cardiol Cases"},{"key":"538_CR6","first-page":"805","volume":"40","author":"EM Ortiz","year":"2021","unstructured":"Ortiz EM, Ricardo JAG, Guerrero EA (2021) The biggest right atria in the world. Rev Portuguesa de Cardiologia (English Edition) 40:805\u2013806","journal-title":"Rev Portuguesa de Cardiologia (English Edition)"},{"key":"538_CR7","doi-asserted-by":"publisher","first-page":"113","DOI":"10.4103\/2211-4122.172490","volume":"25","author":"PK Anandan","year":"2015","unstructured":"Anandan PK, Shukkarbhai PJ, Cholenahally MN (2015) Giant left and right Atrium in rheumatic mitral stenosis and tricuspid regurgitation. J Cardiovasc Echography 25:113\u2013115","journal-title":"J Cardiovasc Echography"},{"key":"538_CR8","doi-asserted-by":"crossref","unstructured":"Mahla H, Bhairappa S, Chikkamuniswamy R, et al (2013) Giant left. and right atrium: spectrum of rheumatic heart disease. BMJ Case Rep. 2013:bcr-2013-201853.","DOI":"10.1136\/bcr-2013-200819"},{"key":"538_CR9","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1002\/ajum.12203","volume":"23","author":"G Whalley","year":"2020","unstructured":"Whalley G (2020) Appropriate and early detection of rheumatic heart disease. Australas J Ultrasound Med 23:3\u20134","journal-title":"Australas J Ultrasound Med"}],"container-title":["The Egyptian Heart Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s43044-024-00538-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s43044-024-00538-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s43044-024-00538-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T21:04:29Z","timestamp":1723583069000},"score":1,"resource":{"primary":{"URL":"https:\/\/tehj.springeropen.com\/articles\/10.1186\/s43044-024-00538-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,13]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["538"],"URL":"https:\/\/doi.org\/10.1186\/s43044-024-00538-7","relation":{},"ISSN":["2090-911X"],"issn-type":[{"type":"electronic","value":"2090-911X"}],"subject":[],"published":{"date-parts":[[2024,8,13]]},"assertion":[{"value":"28 May 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 August 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 August 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and consent to participate"}},{"value":"Written and informed consent for publication of this case report was obtained from the parents of the patient<b>.<\/b>","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publish"}},{"value":"The authors declared no potential conflicts of interest with respect to the research, authorship, and\/or publication of this article.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"104"}}