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Cor triatriatum sinister--three case reports.

Myrvete Kelmendi¹, Ramush Bejiqi, Gani Bajraktari

¹Pediatric Clinic, Cardiology Department, University Clinical Center, Prishtina, Republic of Kosova. drmyrvete@yahoo.com

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Summary

This summary is machine-generated.

Cor triatriatum, a rare congenital heart defect, is more common than previously thought. Successful surgical correction depends on the defect

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Area of Science:

Cardiology
Pediatric Cardiology
Congenital Heart Disease

Background:

Cor triatriatum is a rare congenital heart disease affecting less than 0.4% of patients.
It can present as an isolated defect (classic) or with other cardiac anomalies (atypical).

Observation:

A retrospective review identified three cases of cor triatriatum over eight years.
Two patients had the classic form of cor triatriatum sinister, one with mitral stenosis mimicry and another with mitral valve prolapse.
One patient presented with an atypical form, including an atrial septal defect, anomalous pulmonary venous return, ventricular septal defect, hypoplastic aorta with coarctation, and high pulmonary vascular resistance.

Findings:

Echocardiography is the primary diagnostic tool for typical cor triatriatum.
Cardiac catheterization aids in diagnosing atypical forms.
Two classic cases were successfully operated, while the atypical case with multiple anomalies resulted in mortality post-surgery.

Implications:

Early diagnosis and surgical intervention are crucial for favorable outcomes.
Prognosis is influenced by the size of the atrial communication, associated anomalies, and surgical timing.
Cor triatriatum may be more prevalent than previously recognized, especially with advanced imaging techniques.