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Cor triatriatum dexter and atrial septal defect in a 43-year-old woman

Petar M Vukovic1, Dragana Kosevic1, Miroslav Milicic1

  • 1Departments of Cardiac Surgery (Drs. Micovic, Milicic, Stojanovic, and Vukovic) and Cardiology (Drs. Jovovic and Kosevic), Dedinje Cardiovascular Institute, 11040 Belgrade, Serbia.

Texas Heart Institute Journal
|August 15, 2014
PubMed

Insights

Cor triatriatum dexter, a rare heart defect, involves a membrane dividing the right atrium. Surgical intervention proved successful for a patient with complex anatomy, highlighting surgery as the gold standard in such cases.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Cardiac Surgery

Background:

  • Cor triatriatum dexter is a rare congenital heart anomaly characterized by a membrane subdividing the right atrium.
  • This condition can present with associated cardiac defects, such as atrial septal defects.

Observation:

  • A case report details a 43-year-old woman with cor triatriatum dexter and a large atrial septal defect.
  • During attempted percutaneous closure, the atrial septal defect's lack of an inferior rim prevented device placement.

Findings:

  • Percutaneous closure was unsuccessful due to unfavorable anatomy.
  • Surgical treatment was ultimately successful in managing the complex cardiac anomaly.

Implications:

  • Percutaneous closure may be suitable for incomplete membranes with well-defined rims.
  • Open-heart surgery remains the definitive treatment for cor triatriatum dexter with unfavorable anatomy or complex associated defects.

Keywords:
Abnormalities, multiplecor triatriatum/complications/surgeryheart atria/pathologyheart defects, congenital/diagnosisheart septal defects, atrialtreatment outcome

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