A Patient With Right and Left Atrial Membranes: The Role of Transesophageal Echocardiography and Magnetic Resonance Imaging in Diagnosis

Goldfarb, Andrew; Weinreb, Jeffrey C.; Daniel, Werner G.; Kronzon, Itzhak

doi:10.1016/s0894-7317(89)80012-4

Cited by 21 publications

(14 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…CTD is an extremely rare congenital heart anomaly, in which a membrane divides the right atrium into two chambers. It is generally believed that CTD results from persistence of the right valve of the sinus venosus, and its complete persistence results in a separation between the smooth and trabeculated portions of the right atrium 10–13 . When the septation is mild, the condition is often asymptomatic and is an incidental finding frequently made at postmortem examination; more severe septation can cause right‐sided heart failure and elevated central venous pressures due to obstruction of the tricuspid valve, the RVOT, or the inferior vena cava.…”

Section: Discussionmentioning

confidence: 99%

Tetralogy of Fallot with Cor Triatriatum Dexter in an Adult Patient: A Case Report

et al. 2012

View full text Add to dashboard Cite

Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart defect with only approximately 3% of uncorrected patients surviving past age 40. In this case report, we present a 48-year-old mentally retarded man suffering from congenital spastic quadriplegia who was diagnosed with a unique combination of symptomatic TOF and cor triatriatum dexter (CTD). Reduced preload because of CTD with spastic quadriplegia that prevented physical exertion is believed to have facilitated this patient's unusually long survival.

show abstract

Section: Discussionmentioning

confidence: 99%

Tetralogy of Fallot with Cor Triatriatum Dexter in an Adult Patient: A Case Report

et al. 2012

View full text Add to dashboard Cite

show abstract

“…More recently other imaging modalities have been reported to increase the sensitivity of such diagnosis in adult patients. These include transesophageal echocardiography (TEE), 6,7 magnetic resonance imaging (MRI), 8 computed tomography (CT), 9 and 3‐dimensional echocardiography 10–16 . Among these imaging modalities, 3‐dimensional echocardiography has the advantage of displaying the exact morphologic appearance of the membrane and the communication through it to the mitral valve.…”

Section: Discussionmentioning

confidence: 99%

Cor Triatriatum Sinister with and without Left Ventricular Inflow Obstruction: Visualization of the Entire Supravalvular Membrane by Real-time Three-dimensional Echocardiography. Impact on Clinical Management of Individual Patient

Mercer‐Rosa

Fedec

Gruber

et al. 2006

Congenital Heart Disease

View full text Add to dashboard Cite

We present 4 cases of cor triatriatum in whom the diagnosis was correctly made by 2-dimensional transthoracic echocardiography, which showed the supravalvular left atrial membrane that divides the left atrium into 2 chambers. The pulmonary veins were connected normally to the proximal left atrial chamber and the left atrial appendage was connected to the distal left atrial chamber. In 1 patient there was evidence of severe pulmonary venous obstruction to the mitral valve by Doppler examination, while in the other three, there was no venous obstruction. Patients were then examined by real-time 3-dimensional echocardiography (RT3DE, using x4 matrix array transducer connected to Sonos 7500 echocardiographic system Phillips, Andover, Mass, USA). This showed the exact morphology of the membrane and led to cancellation of planed surgical intervention in 1 case in which the membrane was only a broad band crossing the left atrial cavity. In addition to delineating the exact morphology of the intracavitary anomaly, this novel echocardiographic imaging modality should be an additive tool to better understand the natural history of these nonobstructive left atrial membranes via longitudinal follow-up of these patients.

show abstract

“…During development, the right valve of the sinus venosus divides the right atrium and then regresses and moves caudally and finally ends up leaving the crista terminalis, eustichian valve, and thebasian valve. 13,21,24,25 The membrane in CTD may range from a reticulum to a substantial sheet of tissue. 23 The most common location of the membrane is at the right of superior vena cava, coronary sinus, and inferior vena cava, and the next common location is at the left of coronary sinus and to the right of superior and inferior vena cava.…”

Section: Embryology and Anatomymentioning

confidence: 99%

Cor Triatriatum: A Review

Jha

Makhija

2017

Semin Cardiothorac Vasc Anesth

View full text Add to dashboard Cite

Cor triatriatum is a rare congenital cardiac anomaly defined by an abnormal septation within the atrium (left or right) leading to inflow obstruction to the respective ventricles. It exists either in isolated classical form or may be associated with simple to complex congenital cardiac anomalies. Several anatomical variants exist even in the classical form, and therefore, it may require multimodal diagnostic modalities to characterize and differentiate for better percutaneous interventional or surgical planning. It commonly presents in infancy but may remain undetected till death. Symptomatology typically mimics mitral and tricuspid stenosis in sinister and dexter varieties, respectively. However, features of systemic embolization, heart failure, atrial fibrillation, cyanosis, cardiac asthma, syncope, and sudden cardiac arrest have also been reported in the literature. Surgical correction under cardiopulmonary bypass is the preferred treatment. Nevertheless, balloon dilatation may be considered in anatomically compatible variants and in special circumstances, such as heart failure, pregnancy, or as a bridge to definitive treatment.

show abstract

A Patient With Right and Left Atrial Membranes: The Role of Transesophageal Echocardiography and Magnetic Resonance Imaging in Diagnosis

Cited by 21 publications

References 7 publications

Tetralogy of Fallot with Cor Triatriatum Dexter in an Adult Patient: A Case Report

Tetralogy of Fallot with Cor Triatriatum Dexter in an Adult Patient: A Case Report

Cor Triatriatum Sinister with and without Left Ventricular Inflow Obstruction: Visualization of the Entire Supravalvular Membrane by Real-time Three-dimensional Echocardiography. Impact on Clinical Management of Individual Patient

Cor Triatriatum: A Review

Contact Info

Product

Resources

About