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Updated: Mar 22, 2026

Three-Dimensional Echocardiographic Method for the Visualization and Assessment of Specific Parameters of the Pulmonary Veins
Published on: October 28, 2020
[Subtotal cor triatriatum sinister associated with bilateral partial anomalous pulmonary venous return]
Onur Işık1, Muhammet Akyüz2, Mehmet Fatih Ayık1
1Department of Cardiovascular Surgery, Ege University Faculty of Medicine, İzmir, Turkey.
Insights
Cor triatriatum sinister, a rare congenital heart defect, involves an extra chamber dividing the left atrium. This case highlights a subtotal form with anomalous pulmonary venous return in an infant.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Pediatric Cardiology
Background:
- Cor triatriatum sinister is a rare congenital cardiac anomaly, accounting for 0.1% of all such defects.
- It is frequently associated with other complex cardiac malformations.
- The condition involves an accessory chamber within the left atrium that obstructs pulmonary venous return.
Observation:
- A case report of a 4-month-old male infant is presented.
- The patient exhibited subtotal cor triatriatum sinister.
- Associated anomalies included right and left upper anomalous pulmonary venous return.
Findings:
- The patient presented with a specific anatomical variant of cor triatriatum sinister.
- The anomalous pulmonary venous return further complicated the cardiac physiology.
- Surgical or interventional management strategies would depend on the precise anatomical details and hemodynamic impact.
Implications:
- This case underscores the importance of detailed imaging in diagnosing complex congenital heart defects.
- Understanding rare variants like subtotal cor triatriatum sinister is crucial for effective clinical management.
- Such cases contribute to the broader knowledge base for treating pediatric cardiac anomalies.
Abstract:
Cor triatriatum sinister is a rare congenital cardiac pathology, representing only 0.1% of congenital cardiac anomalies, and often associated with other cardiac defects. In classic cor triatriatum sinister, the pulmonary venous chamber receives all pulmonary veins and drains into the left atrium through a variable-sized orifice. The case of a 4-month-old male patient who had subtotal cor triatriatum sinister associated with right and left upper anomalous pulmonary venous return is presented.
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