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Gepubliceerd in: Netherlands Heart Journal 3/2017

Open Access 13-12-2016 | Heart Beat

Adult cor triatriatum sinistrum: a rare cause of ischaemic stroke

Auteurs: L. Baris, A. J. J. C. Bogers, E. J. van den Bos, M. J. M. Kofflard

Gepubliceerd in: Netherlands Heart Journal | Uitgave 3/2017

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Extras
Video 1: In this video one can appreciate the fibromuscular membrane dividing the left atrium in a proximal and distal part
Video 2: In this video with colour Doppler, the fenestrations in the membrane are clearly visible
Opmerkingen

Electronic supplementary material

The online version of this article (doi: 10.​1007/​s12471-016-0938-z) contains supplementary material, which is available to authorized users.
A 55-year-old male was referred to the cardiologist because of the occurrence of two ischaemic strokes within five months’ time in the absence of documented atrial fibrillation. At echocardiography, a membrane was visualised in the left atrium (cor triatriatum) (Fig. 1a). Since no other abnormalities were detected, the cor triatriatum was held responsible for the cardioembolic stroke. Surgical resection of the fenestrated membrane was carried out successfully (Fig. 1b).
Cor triatriatum is a rare congenital cardiac malformation often recognised during childhood [1] and is usually accompanied by other congenital abnormalities [2]. Symptoms result from the obstructive property mimicking mitral stenosis [3]. In a minority of cases, it is found during routine evaluation in asymptomatic adults. Cor triatriatum as a source of cardioembolic stroke is rare and in most cases atrial fibrillation is an associated finding [2]. Anticoagulant medication or surgery are proposed therapies; however, there is no consensus with respect to the best strategy [4].

Conflict of interest

L. Baris, A.J.J.C. Bogers, E.J. van den Bos and M.J.M. Kofflard declare that they have no competing interests.
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://​creativecommons.​org/​licenses/​by/​4.​0/​), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
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Bijlagen

Caption Electronic Supplementary Material

Video 1: In this video one can appreciate the fibromuscular membrane dividing the left atrium in a proximal and distal part
Video 2: In this video with colour Doppler, the fenestrations in the membrane are clearly visible
Literatuur
2.
go back to reference Eichholz JL, Hodroge SS, Crook JJ, Mack JW Jr, Wortham DC. Cor triatriatum sinister in a 43-year-old man with syncope. Tex Heart Inst J. 2013;40:602–5. PubMedPubMedCentral Eichholz JL, Hodroge SS, Crook JJ, Mack JW Jr, Wortham DC. Cor triatriatum sinister in a 43-year-old man with syncope. Tex Heart Inst J. 2013;40:602–5. PubMedPubMedCentral
3.
go back to reference Leung KF, Lau AT. Cor triatriatum: a rare cause of embolisation. Hong Kong Med J. 2015;21:187. PubMed Leung KF, Lau AT. Cor triatriatum: a rare cause of embolisation. Hong Kong Med J. 2015;21:187. PubMed
4.
go back to reference Saxena P, Burkhart HM, Schaff HV, Daly R, Joyce LD, Dearani JA. Surgical repair of cor triatriatum sinister: the Mayo Clinic 50-year experience. Ann Thorac Surg. 2014;97:1659–63. CrossRefPubMed Saxena P, Burkhart HM, Schaff HV, Daly R, Joyce LD, Dearani JA. Surgical repair of cor triatriatum sinister: the Mayo Clinic 50-year experience. Ann Thorac Surg. 2014;97:1659–63. CrossRefPubMed
Metagegevens
Titel
Adult cor triatriatum sinistrum: a rare cause of ischaemic stroke
Auteurs
L. Baris
A. J. J. C. Bogers
E. J. van den Bos
M. J. M. Kofflard
Publicatiedatum
13-12-2016
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 3/2017
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-016-0938-z

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