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
Hinweise
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].
Anzeige
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.
Worauf kommt es beim Management von Personen mit infektiöser Endokarditis an? Eine Kardiologin und ein Kardiologe fassen die zehn wichtigsten Punkte der neuen ESC-Leitlinie zusammen.
Ältere Frauen, die von chronischen Erkrankungen weitgehend verschont sind, haben offenbar die besten Chancen, ihren 90. Geburtstag zu erleben, wenn ihr systolischer Blutdruck < 130 mmHg liegt. Das scheint selbst für 80-Jährige noch zu gelten.
Frauen in den Niederlanden erhalten bei vergleichbarem kardiovaskulärem Risiko seltener eine intensive Statintherapie als Männer. Ihre LDL-Zielwerte erreichen sie aber fast ähnlich oft.
Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.
Update Kardiologie
Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.