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European Journal of Case Reports in... 2022A woman with recurrent thromboembolic stroke was found to also have cor triatriatum. When the patient first presented with weakness, she was thought to have ischaemic...
UNLABELLED
A woman with recurrent thromboembolic stroke was found to also have cor triatriatum. When the patient first presented with weakness, she was thought to have ischaemic stroke because she had conventional risk factors, but she was later confirmed to have cor triatriatum. The main method of treatment is surgery. However, if surgery is contraindicated, anticoagulation can be used as second-line treatment, but this can be difficult. This report describes the follow-up of a middle-aged female patient with cor triatriatum over 6 years during which she experienced multiple strokes despite different methods of anticoagulation.
LEARNING POINTS
Cor triatriatum is a rare heart condition which may not be detected by routine transthoracic echocardiography and so requires transthoracic echocardiography and CT angiography.Surgical membrane resection is the main treatment option but thromboembolic stroke should be considered when surgery is not possible.Anticoagulation may not be as effective at preventing embolic stroke in this rare heart defect as it is in other conditions.
PubMed: 36632542
DOI: 10.12890/2022_003668 -
Clinical Case Reports Jun 2018Cor triatriatum dexter (CTD) is an extremely rare finding (<0.01%), resulting from the persistence of the right valve of sinus venosus. Echocardiography with color...
Cor triatriatum dexter (CTD) is an extremely rare finding (<0.01%), resulting from the persistence of the right valve of sinus venosus. Echocardiography with color Doppler is the first-line tool for diagnosis and decision making.
PubMed: 29881596
DOI: 10.1002/ccr3.1526 -
BMJ Case Reports Aug 2017Cor triatriatum sinistrum (CTS) is a congenital anomaly where the left atrium is divided into two compartments by a fibromuscular membrane. This report aims to add to...
Cor triatriatum sinistrum (CTS) is a congenital anomaly where the left atrium is divided into two compartments by a fibromuscular membrane. This report aims to add to the literature on a rare cardiac condition that can cause neurological morbidity. We report a case of a 19-year-old female with an infarct in the right middle cerebral artery (MCA) territory initially maintained on aspirin. Eighteen months later, she had recurrence of weakness, for which repeat transthoracic echocardiography (TTE) and re-evaluation of the first TTE demonstrated a hyperechoic membrane spanning the width of the left atrium, clinching the diagnosis of CTS. Despite anticoagulation with apixaban, she was admitted for a third stroke where she succumbed to hospital-acquired pneumonia. Among cases of CTS associated with stroke, anticoagulation and surgery were the main modes of treatment. This case has the longest follow-up and the first to demonstrate failure of antiplatelet therapy and anticoagulation.
Topics: Adult; Anticoagulants; Aspirin; Cor Triatriatum; Echocardiography; Fatal Outcome; Female; Heart Atria; Humans; Infarction, Middle Cerebral Artery; Magnetic Resonance Angiography; Middle Cerebral Artery; Tomography, X-Ray Computed; Young Adult
PubMed: 28790049
DOI: 10.1136/bcr-2017-219763 -
Clinical Cardiology Dec 2010
Topics: Atrial Fibrillation; Cardiac Catheterization; Cardiac Surgical Procedures; Cor Triatriatum; Dyspnea; Echocardiography; Female; Humans; Magnetic Resonance Imaging; Middle Aged; Radiography; Treatment Outcome
PubMed: 21184551
DOI: 10.1002/clc.20506 -
Multimedia Manual of Cardiothoracic... 2014The cor triatriatum sinister is an uncommon congenital cardiac anomaly and reports in the literature are limited. It is often associated with other cardiac...
The cor triatriatum sinister is an uncommon congenital cardiac anomaly and reports in the literature are limited. It is often associated with other cardiac malformations, such as atrial septal defect, transposition of the great arteries, tetralogy of Fallot or atrioventricular septal defect. We present here a 6-year old boy who was diagnosed with cor triatriatum sinister, initially showing symptoms similar to mitral valve stenosis and congestive heart failure, and who underwent subsequent surgical correction using a left atrial approach. The fibromuscular membrane, separating the pulmonary veins from the mitral valve, was completely resected and postoperative echocardiography showed unobstructed pulmonary venous flow.
Topics: Cardiopulmonary Bypass; Child; Cor Triatriatum; Echocardiography, Transesophageal; Heart Arrest, Induced; Heart Atria; Heart Failure; Humans; Hypertension, Pulmonary; Intraoperative Care; Male; Mitral Valve Stenosis; Postoperative Complications; Pulmonary Veins; Risk Adjustment; Sternotomy; Treatment Outcome
PubMed: 24878580
DOI: 10.1093/mmcts/mmu005 -
Arquivos Brasileiros de Cardiologia Jan 2018
Topics: Adult; Cor Triatriatum; Echocardiography; Humans; Male
PubMed: 29538531
DOI: 10.5935/abc.20170138 -
JTCVS Techniques Dec 2020
PubMed: 34318035
DOI: 10.1016/j.xjtc.2020.09.005 -
JTCVS Techniques Dec 2020
PubMed: 34318036
DOI: 10.1016/j.xjtc.2020.08.076