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[Cor triatriatum sinistrum and atrial septal defect]
T Voigtländer1, B Nowak, D Eckhardt
1Medizinische Klinik I, Stadtkrankenhaus Hanau, Internistische Gemeinschaftspraxis Offenbach, Waldstrasse.
Zeitschrift Fur Kardiologie
|September 1, 1994
Summary
Cor triatriatum sinistrum, a rare heart defect, typically causes severe symptoms in infancy. This case highlights an adult with mild symptoms due to this condition and an atrial septal defect.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Medical Malformations
Background:
- Cor triatriatum sinistrum is a rare congenital heart anomaly characterized by an intra-atrial septum dividing the left atrium.
- It often presents in infancy with severe congestive heart failure due to obstruction of pulmonary venous return.
Observation:
- This report details a rare case of cor triatriatum sinistrum diagnosed in an adult patient.
- The patient presented with only mild symptoms, a significant deviation from the typical infantile presentation.
Findings:
- The adult patient also had an associated atrial septal defect, which may have influenced the clinical presentation.
- Hemodynamic factors and embryological considerations are discussed as potential reasons for the delayed and mild symptomatology.
Implications:
- This case expands the understanding of the clinical spectrum of cor triatriatum sinistrum.
- It suggests that associated cardiac defects can significantly alter the natural history and presentation of this rare malformation.