Transcatheter Closure of a Patent Foramen Ovale With a Small Adjacent Atrial Septal Defect and a Double Interatrial Septum Post Cryptogenic Stroke

Michaela Kyriakou, Christos Rotos, Thrasos Constantinides, Demetris Taliotis, Christos Eftychiou

Abstract


The phenomenon of double interatrial septum (DIAS) represents a particularly rare subtype of atrial septal malformation, characterized by the presence of dual membranes separating the atria, resulting in a distinctive interatrial space. This unique anatomical structure has been linked to a paradoxical right-to-left shunt, potentially contributing to embolic ischemic strokes. Within this context, we report a rare case of a 34-year-old female who presented with a transient ischemic attack (TIA) and was diagnosed with patent foramen ovale (PFO) and a small adjacent atrial septal defect (ASD), along with the presence of a DIAS. The diagnosis was confirmed wit transoesophageal echocardiography and cardiac magnetic resonance imaging (MRI), and the condition was successfully treated with a transcatheter occluder device.




J Med Cases. 2024;15(11):330-334
doi: https://doi.org/10.14740/jmc4296

Keywords


Double interatrial septum; Patent foramen ovale; Ischemic stroke; Transcatheter occlusion; Atrial septal defect

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