Left atrium

Atrium sinistrum

CardiovascularOrgansThorax

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What it is
The most posterior chamber of the heart, lying directly in front of the oesophagus. It receives the four pulmonary veins; its narrow, hook-shaped left auricle curls forward along the left side of the pulmonary trunk.
Function
Receives oxygenated blood from the lungs and passes it through the mitral valve into the left ventricle.
Size
About 4 cm in anteroposterior diameter (upper normal on echocardiography); wall 2–3 mm.
Clinical note
In atrial fibrillation blood stagnates in the left atrial appendage, the source of most cardiac emboli that cause stroke; an enlarged left atrium can indent the oesophagus on a barium swallow.