The Korean Journal of Medicine

  • 제83권4호
  • /
  • Pages.490-493
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  • 2012
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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뇌경색을 동반한 성인에서의 삼심방증 1예

A Case of Acute Cerebral Infarction in Adult Cor Triatriatum Sinistrum

  • 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)
  • 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)
  • 발행 : 2012.10.01
⟨ 이전 논문 다음 논문 ⟩

초록

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.

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.

키워드

참고문헌

  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
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  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.