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Cor Triatriatum Sinister diagnosed in adult life with three dimensional transesophageal echocardiography

Righab Hamdan1, Nicolas Mirochnik, David Celermajer

  • 1Saint Antoine Hospital, Paris, France. mdrighabh@hotmail.com

BMC Cardiovascular Disorders
|October 30, 2010
PubMed

Insights

Cor triatriatum sinister, a rare congenital heart defect, was diagnosed in an adult woman. Early recognition is key for surgical correction, with 3D transesophageal echocardiography proving highly effective for diagnosis.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Echocardiography

Background:

  • Cor triatriatum is a rare congenital heart anomaly.
  • Typically presents in childhood, adult diagnosis is uncommon.

Observation:

  • A 40-year-old woman presented with atrial flutter.
  • Transthoracic echocardiography revealed a membrane bisecting the left atrium.
  • Associated anomalies included ASD, dilated coronary sinus, and bicuspid aortic valve.

Findings:

  • Diagnosis of cor triatriatum sinister confirmed by 3D transesophageal echocardiography.
  • The patient had coexisting ostium secundum atrial septal defect, dilated coronary sinus (likely due to persistent left superior vena cava), and a normally functioning bicuspid aortic valve.

Implications:

  • Cor triatriatum sinister in adults requires recognition for potential surgical correction.
  • 3D transesophageal echocardiography is a sensitive and minimally invasive diagnostic tool for this condition.
Abstract

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