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.

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