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Cor Triatriatum Dexter: A Case Report in a 70-Year-Old Male

George Hanna1, Javad Savoj1, Syed Iftikhar1

  • 1Department of Internal Medicine, UC Riverside School of Medicine/Riverside Community Hospital, Riverside, CA 92501, USA.

Journal of Medical Cases
|August 26, 2021
PubMed

Insights

Cor triatriatum dexter (CTD) is a rare congenital heart defect where a membrane divides the right atrium. This case report details a patient with CTD presenting with dyspnea and fatigue.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Pediatric Cardiology

Background:

  • Cor triatriatum dexter (CTD) is a rare congenital anomaly.
  • It arises from the persistence of the right valve of the sinus venosus.
  • A membrane forms, dividing the right atrium into two chambers.

Observation:

  • The degree of atrial septation influences clinical presentation.
  • Asymptomatic cases may be incidentally found during procedures or diagnostics.
  • Severe cases can lead to right-sided heart failure and elevated venous pressures.

Findings:

  • This report details a case of CTD in a patient experiencing dyspnea and fatigue.
  • The persistent valve obstructs blood flow, impacting right heart function.
  • Clinical manifestations vary significantly with the severity of the septation.

Implications:

  • Understanding CTD embryology is crucial for diagnosis.
  • Early diagnosis and management are key to preventing complications.
  • Advances in treatment offer improved outcomes for affected individuals.

Keywords:
Congenital heart diseaseCor triatriatum dexterRight-sided heart failure

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