Adult cor triatriatum presenting as cardioembolic stroke

Intern Med. 2009;48(13):1149-52. doi: 10.2169/internalmedicine.48.2148. Epub 2009 Jul 1.

Abstract

Cor triatriatum is a rare congenital cardiac malformation characterized by a fibromuscular membrane that divides the left atrium into two distinct chambers. In almost all cases, it is diagnosed in childhood, whereas adult cases are extremely rare. Herein, we describe an unusual case of cor triatriatum in a 55-year-old woman who presented with embolic cerebral infarction. The patient experienced sudden-onset, transient left-sided homonymous hemianopsia and echocardiography and multidetector computed tomography detected a membrane-like structure across the left atrium, confirming the diagnosis of a cor triatriatum. The laboratory examination for hypercoagulopathy was negative. She was conservatively treated with anticoagulation and her neurological manifestation gradually improved.

Publication types

  • Case Reports
  • Comparative Study
  • Review

MeSH terms

  • Cerebral Infarction / diagnosis
  • Cerebral Infarction / etiology
  • Cor Triatriatum / complications*
  • Cor Triatriatum / diagnosis*
  • Cor Triatriatum / diagnostic imaging
  • Diagnosis, Differential
  • Echocardiography
  • Female
  • Humans
  • Intracranial Embolism / diagnosis
  • Intracranial Embolism / etiology*
  • Magnetic Resonance Imaging
  • Middle Aged
  • Stroke / diagnosis
  • Stroke / etiology*
  • Tomography, X-Ray Computed