Management of giant left atrium in patient undergoing left ventricular assist device placement

Giant left atrium in a patient who requires heart transplantation not only poses a significant mortality risk due to compression effect on the surrounding intrathoracic structures but also leads to technical difficulties during transplantation, especially with the left atrial anastomosis. We discuss a case of a patient with a giant left atrium with end-stage valvular cardiomyopathy where simultaneous ventricular assist device placement and left atrium reduction plasty was undertaken as a bridge to cardiac transplantation.