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Cor triatriatum dexter in an adult diagnosed by transesophageal echocardiography: a case report

A Dobbertin1, C A Warnes, J B Seward

  • 1Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, MN, USA.

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
|November 1, 1995
PubMed

Insights

Cor triatriatum dexter, a rare congenital heart defect, involves a right atrial division. Diagnosis in adults is challenging but achievable with advanced imaging, leading to successful surgical correction.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Medical Diagnostics

Background:

  • Cor triatriatum dexter is a rare congenital heart malformation.
  • It involves a persistent right sinus venosus valve dividing the right atrium.
  • Historically, diagnosis before surgery or death was infrequent.

Observation:

  • This case presents an adult with lifelong exertional cyanosis and dyspnea.
  • The patient was diagnosed at 47 years of age.
  • Associated congenital heart defects were also noted.

Findings:

  • Definitive diagnosis was achieved using transesophageal echocardiography.
  • Surgical intervention confirmed the echocardiographic findings.
  • Successful correction of the cardiac defects was performed.

Implications:

  • Highlights the utility of advanced echocardiography in diagnosing rare adult congenital heart defects.
  • Demonstrates that surgical correction is a viable option for symptomatic adult patients.
  • Emphasizes the importance of considering rare anomalies in patients with unexplained chronic symptoms.

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