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Loeffler’s group 2 cor triatriatum sinistrum with mobile left atrial thrombus – a case report and literature review

Published online by Cambridge University Press:  16 December 2020

Yuan Zheng
Affiliation:
Department of cardiothoracic surgery, Guangdong Provincial hospital of Chinese Medicine, No.55 Neihuanxi Road, Panyu, Guangzhou, Guangdong510006, People’s Republic of China
Wei Zhu
Affiliation:
Department of cardiothoracic surgery, Guangdong Provincial hospital of Chinese Medicine, No.55 Neihuanxi Road, Panyu, Guangzhou, Guangdong510006, People’s Republic of China
Xinjie Huang
Affiliation:
Department of cardiothoracic surgery, Guangdong Provincial hospital of Chinese Medicine, No.55 Neihuanxi Road, Panyu, Guangzhou, Guangdong510006, People’s Republic of China
Dongqun Lin*
Affiliation:
Department of cardiothoracic surgery, Guangdong Provincial hospital of Chinese Medicine, No.55 Neihuanxi Road, Panyu, Guangzhou, Guangdong510006, People’s Republic of China
*
Author for correspondence: Dongqun Lin MD, Guangdong Provincial Hospital of Chinese Medicine, No.55 Neihuanxi Road, Panyu, Guangzhou, Guangdong 510006, People’s Republic of China. Tel: +020-39318581. Fax: +020-34728881. E-mail: [email protected]

Abstract

We report a case of a 25-year-old man diagnosed with an unusual case of cor triatriatum sinister with a mobile left atrial thrombus. He was hospitalised with aggravating dyspnoea. Transthoracic echocardiography revealed a membrane-like structure traversing the left atrial and a small orifice of about 7.1 mm. The mean pressure gradient was 12.94 mmHg across the orifice of the membrane-like structure and there was a mobile mass in the post-erosuperior chamber. The anomaly was rectified by a surgical resection. Timely diagnosis and surgical repair may prevent stroke in patients with unusual cor triatriatum sinister.

Type
Brief Report
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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