DOI QR코드

DOI QR Code

A Case of Acute Cerebral Infarction in Adult Cor Triatriatum Sinistrum

뇌경색을 동반한 성인에서의 삼심방증 1예

  • Park, Cheol-Woo (Department of Internal Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center, Dong-Eui University College of Oriental Medicine) ;
  • Park, Sung-Hwan (Department of Internal Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center, Dong-Eui University College of Oriental Medicine) ;
  • Yoon, Young-Jin (Department of Internal Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center, Dong-Eui University College of Oriental Medicine) ;
  • Han, Won-Seok (Department of Internal Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center, Dong-Eui University College of Oriental Medicine) ;
  • Park, Jung-Ik (Department of Internal Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center, Dong-Eui University College of Oriental Medicine) ;
  • Nam, Oun-Ouk (Department of Internal Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center, Dong-Eui University College of Oriental Medicine) ;
  • Rhee, Il (Department of Internal Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center, Dong-Eui University College of Oriental Medicine)
  • 박철우 (동의대학교 한의과대학 동의의료원 심장.혈관센터 내과학교실) ;
  • 박성환 (동의대학교 한의과대학 동의의료원 심장.혈관센터 내과학교실) ;
  • 윤영진 (동의대학교 한의과대학 동의의료원 심장.혈관센터 내과학교실) ;
  • 한원석 (동의대학교 한의과대학 동의의료원 심장.혈관센터 내과학교실) ;
  • 박정익 (동의대학교 한의과대학 동의의료원 심장.혈관센터 내과학교실) ;
  • 남원욱 (동의대학교 한의과대학 동의의료원 심장.혈관센터 내과학교실) ;
  • 이일 (동의대학교 한의과대학 동의의료원 심장.혈관센터 내과학교실)
  • Published : 2012.10.01

Abstract

Cor triatriatum is a rare congenital malformation of the heart characterized by a fibromuscular membrane dividing the atrium into two distinct chambers. In the majority of cases, it is diagnosed in early childhood, whereas adult cases are extremely rare [1,2]. The hemodynamics of cor triatriatum are similar to those of mitral stenosis, which sometimes cause embolic infarction. We describe an unusual case of cor triatriatum sinistrum in a 48-year-old man who presented with relapsed embolic infarction.

성인에서의 삼심방증은 매우 드문 질병으로 다른 심장 기형과 동반되는 경우가 많다. 그래서 색전성 뇌경색을 일으키기도 하는데 본 저자들은 삼심방증과 동반된 다른 기형이나 심장질환이 없이 발생한 재발성 뇌경색 환자를 경험하였기에 보고하는 바이다.

Keywords

References

  1. Spengos K, Gialafos E, Vassilopoulou S. Ischemic stroke as an uncommon complication of Cor triatriatum. J Stroke Cerebrovasc Dis 2008;17:436-438. https://doi.org/10.1016/j.jstrokecerebrovasdis.2008.07.007
  2. Nishimoto H, Beppu T, Komoribayashi S, et al. A case of multiple cerebral infarction accompanied by a cor triatriatum. No Shinkei Geka 2004;32:257-260.
  3. Chen Q, Guhathakurta S, Vadalapali G, Nalladaru Z, Easthope RN, Sharma AK. Cor triatriatum in adults: three new cases and a brief review. Text Heart Inst J 1999;26: 206-210.
  4. Park KJ, Park IK, Sir JJ, et al. Adult cor triatriatum presenting as cardioembolic stroke. Intern Med 2009;48: 1149-1152. https://doi.org/10.2169/internalmedicine.48.2148
  5. Krasemann Z, Scheld HH, Tjan TD, Krasemann T. Cor triatriatum: short review of the literature upon ten new cases. Herz 2007;32:506-510. https://doi.org/10.1007/s00059-007-2882-6
  6. Huang TY, Sung PH. Transesophageal echocardiographic detection of cardiac embolic source in cor triatriatum complicated by aortic saddle emboli. Clin Cardiol 1997;20: 294-296. https://doi.org/10.1002/clc.4960200320
  7. Takiya H, Kawai H, Koike S, et al. A surgical case of cor triatriatum complicated by arterial multiple embolism in adult. Rinsho Kyobu Geka 1990;10:69-71.
  8. Salomone G, Tiraboschi R, Bianchi T, Ferri F, Crippa M, Parenzan L. Cor triatriatum: clinical presentation and operative results. J Thorac Cardiovasc Surg 1991;101:1088-1092.