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A 62-year-old man was admitted to our hospital for the control of heart failure and pneumonia (figure 1A). His medical history included chronic atrial fibrillation for 20 years and the presence of a large left atrium (LA) without a family history of heart disease. Echocardiography showed a huge LA, a normal range of diastolic wall thickness of 9 mm, a 56% ejection fraction, a mean E/e′ of 8 and mild mitral regurgitation without stenosis (figure 1B). A CT image (figure …
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