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Evaluating adult cor triatriatum with total anomalous pulmonary venous connections by multidetector computed

M Kantarci1, I Yuce, A Yalcin

  • 1Atatürk University, School of Medicine, Department of Radiology, Erzurum, Turkey. akkanrad@hotmail.com

Folia Morphologica
|November 26, 2011
PubMed

Insights

A rare heart defect, cor triatriatum with total anomalous pulmonary venous connections, was diagnosed in a young patient. ECG-gated cardiac MDCT effectively visualized this complex cardiac anomaly.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Congenital Heart Disease

Background:

  • Congenital heart anomalies require accurate diagnosis for effective management.
  • Cor triatriatum is a rare condition characterized by an extra chamber within the left atrium.
  • Total anomalous pulmonary venous connections involve abnormal drainage of pulmonary veins.

Observation:

  • A 19-year-old female presented with dyspnea and chest pain.
  • Initial chest radiograph revealed mild cardiomegaly.
  • Echocardiography suggested an additional cardiac chamber, prompting further investigation.

Findings:

  • ECG-gated 16-detector-row computed tomography angiography identified cor triatriatum with total anomalous pulmonary venous connections.
  • Multidetector computed tomography (MDCT) precisely delineated the complex cardiac and vascular anatomy.
  • The study confirmed the presence of both cor triatriatum and TAPVC.

Implications:

  • ECG-gated cardiac MDCT is a valuable tool for diagnosing cor triatriatum and associated anomalies.
  • Accurate anatomical visualization is crucial for surgical planning and patient outcomes.
  • This case highlights the utility of advanced imaging in complex congenital heart disease.

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