A Very Rare Case of Cor Triatriatum with Severe Mitral Regurgitation

Abstract

BACKGROUND:Cor triatriatum sinister is rare congenital heart disease. It is mainly presented in childhood and often accompanied with other congenital anomalies. The cases with cor triatriatum treated surgically in adults and accompanied with severe mitral regurgitation are very rare.CASE REPORT:We present a case with diagnosed cor triatriatum and severe mitral regurgitation. The diagnose was made by echocardiography. She was a female 25 years that was hospitalised with signs of heart failure NYHA II-III.CONCLUSION:We performed the resection of the membrane in the left atrium and repair of a mitral valve according to Alfieri. The patient did very well after the surgery.

Impact of cleft‐like indentations on procedural outcome of percutaneous edge‐to‐edge mitral valve repair

“…In regard to the growing experience on applying PMVR in more complex valve morphologies only few case reports have been published reporting PMVR in the presence of anatomically complex mitral valve leaflet variations, such as, cleft‐like indentations, clefts and tri‐leaflet mitral valves, 11‐15 while others consider the presence of cleft‐like indentations and pseudo‐clefts confounding factors which precludes PMVR with the MitraClip system 16 …”

“…5,[7][8][9][10] Recently it has been recognized that pseudo-clefts are commonly encountered in myxomatous mitral valve disease (MMVD) with an increased detection rate by routine of three-dimensional transesophageal echocardiography (3D-TEE) that allows a detailed evaluation of the mitral valve apparatus. 5 In regard to the growing experience on applying PMVR in more complex valve morphologies only few case reports have been published reporting PMVR in the presence of anatomically complex mitral valve leaflet variations, such as, cleft-like indentations, clefts and tri-leaflet mitral valves, [11][12][13][14][15] while others consider the presence of cleft-like indentations and pseudo-clefts confounding factors which precludes PMVR with the MitraClip system. 16 Our study is the first to systematically elucidate the impact of cleftlike indentations on procedural outcome of PMVR with the MitraClip system.…”