Cor Triatriatum Sinister Presenting as Cardioembolic Stroke in a Young Woman.
Timea Magdolna SzaboErhard HeidenhofferÁdám KirchmaierBenedek PelokAttila FrigyPublished in: Diagnostics (Basel, Switzerland) (2022)
Cor triatriatum sinister is a rare congenital heart disease characterized by an additional fibromuscular membrane in the left atrium. Cardioembolic stroke is a rare complication of cor triatriatum sinister, especially among women. We hereby describe the case of an 18-year-old female patient, without a past medical history, presenting with cardioembolic stroke in the territory of the right posterior cerebral artery. During extensive diagnostic work-up, nonrestrictive cor triatriatum sinister and patent foramen ovale were diagnosed using transthoracic and transesophageal echocardiography. In clinical practice, it is important to identify congenital cardiac defects as potential substrates for cardioembolism in young patients. In our case, cor triatriatum sinister presenting as ischemic stroke was diagnosed, which is an uncommon finding, especially in young females. Determining the optimal management strategy for patients with cor triatriatum sinister complicated by cardioembolic stroke requires a multidisciplinary approach.
Keyphrases
- atrial fibrillation
- congenital heart disease
- clinical practice
- case report
- left atrial appendage
- end stage renal disease
- left ventricular
- cerebral ischemia
- middle aged
- healthcare
- ejection fraction
- newly diagnosed
- chronic kidney disease
- heart failure
- pulmonary hypertension
- polycystic ovary syndrome
- catheter ablation
- adipose tissue
- risk assessment
- peritoneal dialysis
- skeletal muscle
- inferior vena cava
- prognostic factors
- pulmonary embolism
- quality improvement
- human health
- climate change