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[Obstructive left triatrial heart in the adult. Echocardiographic appearances]
S Chraibi1, S Nafidi, S Fadouach
1Service de cardiologie, CHU Ibn Rochd, Casablanca, Maroc.
Abstract:
The authors report the case of a 23-year old man who presented with signs of pulmonary hypertension due to an obstructive left triatrial heart in adulthood. Transthoracic and transoesophageal echocardiography showed a partially calcified intra-left atrial membrane perforated in its centre. Doppler analysis of flow through the membrane showed continuous systolo-diastolic flow at high velocity indicating haemodynamic obstruction. The systolic pulmonary artery pressure was estimated at 80 mmHg. The patient was treated by surgical excision of the intra-left atrial membrane.