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A Case of Multiple Cerebral Infarction Accompanied by a Cor Triatriatum Hideaki NISHIMOTO 1 , Takaaki BEPPU 1 , Seiichi KOMORIBAYASHI 1 , Hiromu KONNO 1 , Nobuhiko TOMIZUKA 1 , Kuniaki OGASAWARA 1 , Akira OGAWA 1 , Migaku KIKUTI 2 , Kouhei OIKAWA 2 1Department of Neurosurgery,Iwate Medical University 2Depatment of Cardiology,Iwate Medical University Keyword: showering embolism , cor triatriatum , transesophageal echocardiography pp.257-260
Published Date 2004/3/1
DOI https://doi.org/10.11477/mf.1436100329
  • Abstract
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 A cor triatriatum is a congenital malformation of the heart which,in almost all cases,is diagnosed in childhood,whereas adult cases are very rare. The hemodynamics of the cor triatriatum is similar to that of mitral stenosis,which sometimes,but rarely,causes embolism. We present a case of multiple cerebral infarctions accompanied with a cor triatriatum. A 57-year-old female suddenly displayed impaired consciousness and hemiparesis immediately after cranioplasty for another disease,and was diagnosed by a diffusion weighted MRI as having multiple infarctions. A transesophageal echocardiography detected a membrane-like,echo-dense structure across the left atrium,suggesting a cor triatriatum. We suspect that her multiple infarctions were caused by embolism due to a cor triatriatum. Here,we discuss the relationship between her embolic stroke and the cor triatriatum,with references to literature on the subject.


Copyright © 2004, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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