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European Journal of Echocardiography Advance Access originally published online on November 13, 2008
European Journal of Echocardiography 2009 10(2):360-361; doi:10.1093/ejechocard/jen302
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org.

Cryptogenic stroke in two cases with left atrial band: coincidence or cause?

Orhan Ozer1, Ibrahim Sari1,*, Vedat Davutoglu1, Remzi Yigiter2 and Cayan Akkoyun1

1 Department of Cardiology, Gaziantep University, School of Medicine, TR-27310 Gaziantep, Turkey
2 Department of Neurology, Gaziantep University, School Of Medicine, Gaziantep, Turkey

Received 8 September 2008; accepted after revision 17 October 2008; online publish-ahead-of-print 13 November 2008.

* Corresponding author. Tel: +90 505 355 6797; fax: +90 342 360 3928. E-mail address: drisari{at}yahoo.com


  Abstract

Congenital left atrial band (LAB) has been reported previously. However, clinical significance of the LAB has not been clearly defined. Although LAB is generally known as a benign entity, it has been reported to be associated with Chiari's network, patent foramen ovale, mitral valve prolapse, mitral regurgitation, and supraventricular arrhythmias. In this case report we report LAB in a 34-year-old male and 56-year-old female with cryptogenic stroke. To our knowledge, the association of LAB with cardioembolic events has not been reported previously. Lack of other potential risk factors of cardioembolic stroke and normal laboratory examinations lead us to suggest that LAB might be the cause of cardioembolism in the present two cases. In conclusion, in cases with ischaemic stroke, especially the ones with undetermined aetiology, LAB should be kept in mind as a potential cause of cardioembolism.

Keywords: Left atrium; Band; Stroke


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