Hidden problems in a case of atrial fibrillation.
Adrian Espejel-GuzmanAldo Cabello-GanemJose C Armendariz-FerrariJavier Serrano-RomanAlexis D Aparicio-OrtizNilda Espinola-ZavaletaPublished in: Echocardiography (Mount Kisco, N.Y.) (2023)
Atrial fibrillation (AF) is the most common cardiac arrhythmia. However, the relation between congenital heart defects and the predisposition to AF is not fully understood. A 65-year-old male was admitted into the emergency department due to progressive dyspnea, orthopnea, palpitations, and edema. Transthoracic echocardiogram showed bi-atrial enlargement and dysplasia of the mitral leaflets with severe mitral regurgitation. Also, a membrane was noted in the LA, dividing the chamber into two parts, suggestive of cor triatriatum sinister. Coronary computed tomography angiography demonstrated a soft tissue septum in the left atrium. Multimodal evaluation is of vital importance for a complete approach, since, detected in time, it has an excellent prognosis.
Keyphrases
- atrial fibrillation
- catheter ablation
- left atrial
- emergency department
- left atrial appendage
- coronary artery
- oral anticoagulants
- soft tissue
- left ventricular
- direct oral anticoagulants
- heart failure
- mental health
- coronary artery disease
- multiple sclerosis
- pulmonary artery
- aortic stenosis
- mitral valve
- early onset
- percutaneous coronary intervention
- pain management
- computed tomography
- aortic valve
- magnetic resonance
- acute coronary syndrome
- drug induced
- palliative care