Operative correction of cor triatriatum sinister with systemic venous return anomaly (inferior vena cava-left atrium)
Mustafa Cikirikcioglu1, Tolga Tatar, Arzu Dönmez Antal
1Department of Cardiovascular Surgery, University Hospital of Geneva, 24 Rue Micheli du Crest, 1211 Geneva, Switzerland.
Insights
Cor triatriatum sinister, a rare heart defect, involves a membrane dividing the left atrium. This case successfully treated a patient with this anomaly and an unusual additional systemic venous return.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Cardiac Surgery
Background:
- Cor triatriatum sinister is a rare congenital cardiac anomaly characterized by a fibromuscular membrane within the left atrium.
- This anatomical abnormality partitions the left atrium into proximal and distal chambers.
- It commonly coexists with persistent left superior vena cava, but anomalous systemic venous return is infrequent.
Observation:
- A patient presented with cor triatriatum sinister.
- The patient also exhibited an unusual anomalous systemic venous return.
- This combination represents a rare clinical presentation.
Findings:
- Successful surgical intervention was performed for a patient with cor triatriatum sinister.
- The treatment addressed both the primary anomaly and the coexisting unusual systemic venous return.
- This case highlights the successful management of a complex cardiac defect.
Implications:
- This case demonstrates the feasibility of surgical correction for complex cor triatriatum sinister with anomalous venous return.
- It expands the understanding of surgical possibilities for rare congenital heart defects.
- Successful management offers hope for patients with similar rare cardiac anomalies.
Abstract:
Cor triatriatum sinister is a rare cardiac anomaly. It is characterized by the presence of a fibromuscular membrane in the left atrium, thus forming a proximal chamber receiving the pulmonary veins and a distal chamber communicating with the mitral valve and the left atrial appendage. This rare pathology tends to coexist with a persistent left superior vena cava, whereas the presence of an anomalous systemic venous return is unusual. In this article, we report successful treatment of a patient with cor triatriatum sinister who has an additional systemic venous return anomaly.
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