Sudden cardiac death as a consequence of Cor triatriatum sinistrum in an adult

Tomio Tran1, Peter Ch'en2, Bicong Wu3

  • 1Department of Cardiology, University of Washington, Seattle, WA, USA.

Insights

Cor triatriatum sinistrum (CTS) is a rare congenital heart defect. This case report details sudden cardiac death in an adult due to untreated CTS, a previously unreported cause of mortality.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Pathology

Background:

  • Cor triatriatum sinistrum (CTS) is a rare congenital cardiac malformation characterized by a fenestrated membrane dividing the left atrium.
  • This anomaly can impede blood flow, leading to symptoms of congestive heart failure, and may rarely manifest in adulthood.

Observation:

  • This case report presents a rare instance of sudden cardiac death (SCD) in an adult patient.
  • The SCD was attributed to the long-term sequelae of undiagnosed and untreated Cor triatriatum sinistrum.

Findings:

  • This is the first reported case of sudden cardiac death directly linked to Cor triatriatum sinistrum.
  • The findings highlight the potential for severe, fatal outcomes from this congenital heart defect, even in adulthood.

Implications:

  • This case underscores the importance of considering rare congenital heart anomalies in the differential diagnosis of sudden cardiac death, particularly in younger adults.
  • It emphasizes the need for timely diagnosis and management of Cor triatriatum sinistrum to prevent potentially fatal complications.
  • Further research into the long-term prognosis and optimal management strategies for adult patients with Cor triatriatum sinistrum is warranted.

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