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Related Concept Videos

Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...

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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
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Fenestrated cor triatriatum sinistrum: a case report.

Zafer Işılak1, Serkan Cay, Ejder Kardeşoğlu

  • 1Department of Cardiology GMMA Haydarpaşa Education Hospital, İstanbul, Turkey. drzaferisilak@gmail.com

Turk Kardiyoloji Dernegi Arsivi : Turk Kardiyoloji Derneginin Yayin Organidir
|September 7, 2012
PubMed
Summary

This case study details a rare congenital heart defect, cor triatriatum sinistrum with fenestrations, in a young male. The condition caused symptoms like dyspnea, but no pressure gradient necessitated medical follow-up.

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Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Cardiac Imaging

Background:

  • Cor triatriatum sinistrum is a rare congenital heart anomaly characterized by an intra-left atrial membrane dividing the chamber.
  • This condition can lead to symptoms such as dyspnea, fatigue, and palpitations due to impaired blood flow.

Observation:

  • A 20-year-old male presented with exertional dyspnea, fatigue, and palpitations.
  • Cardiac auscultation revealed a grade I-II/VI early to mid-systolic murmur.
  • Electrocardiography showed sinus rhythm and an incomplete right bundle branch block.

Findings:

  • Transthoracic and transesophageal echocardiography revealed a fenestrated membrane originating from the left upper pulmonary vein, dividing the left atrium into proximal and distal compartments.
  • Cardiac MRI confirmed these findings without identifying additional anomalies.
  • No significant pressure gradient was observed across the membrane.

Implications:

  • This case highlights the importance of comprehensive cardiac imaging in diagnosing rare congenital heart defects.
  • The absence of a pressure gradient in this fenestrated cor triatriatum sinistrum case led to conservative medical management.
  • Further research into the long-term outcomes of medically managed fenestrated cor triatriatum sinistrum is warranted.