Objectives: Cor Triatriatum is a rare anomaly that can either involves the left atrium (Cor Triatriatum Sinister-CTS) or the right atrium (Cor Triatriatum Dexter- CTD). Preoperative identification of this anomaly is important in determining patient treatment course. The objective of this paper is to understand imaging findings, classification and to familiarise the reader with other associated congenital cardiac anomalies that influence patient management. Methods: From the hospital electronic health records (EHR) database, we identified 10 patients of Cor Triatriatum out of 974 patients who underwent cardiac CT between 15 July 2014 and 20 March 2020 for congenital heart disease. Medical records and imaging findings were reviewed retrospectively. Results: Out of 10 patients, nine patients had CTS (90%) and only one patient had CTD (10%). Five out of nine patients (55.5%) had CTS type II and four (44.4%) had CTS type III. The mean of the membrane orifices in CTS type III was 18.5 mm and was 5.78 mm in CTS type II. Pulmonary veins were dilated in all patients of CTS type II (62.5%), two patient of CTS type III (25%) and in only patient with CTD (12.5%). Ostium secundum atrial septal defect was the most common (66%) associated cardiac anomaly, followed by ventricular septal defect (44%). Conclusions: CT allows excellent pre-operative evaluation of Cor Triatriatum and associated cardiac anomalies. Advances in knowledge: CT is excellent in making a diagnosis and classifying Cor Triatriatum and for identification of cardiac anomalies and complications associated with it.
A 12-year-old male presented with a 2-month history of recurrent episodes of dysuria, haematuria of 10 days' duration and on and off fever of 4 months duration. There is no history of previous tuberculous infection. Urinalysis revealed leucocyturia and numerous red blood cells, but no growth on multiple urine cultures. The patient showed minimal symptomatic improvement after two courses of nitrofurantoin. Contrast material-enhanced Computed Tomography (CT) of the abdomen was performed for further evaluation of the persistent haematuria and pyuria. Mycobacterium tuberculosis was isolated at acid-fast bacteria urine culture.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.