Biplane Transesophageal Echocardiographic Diagnosis of Cor Triatriatum

Kacenelenbogen, Raymond; Decoodt, Pierre

doi:10.1378/chest.105.2.601

Cited by 13 publications

(10 citation statements)

References 7 publications

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“…Differential diagnosis of the accessory cavity includes cor triatriatum, left atrial aneurysm, diverticulum, and pulmonary varix. [5][6][7] A prominent confluence of the left atrial appendage and left pulmonary vein is easily distinguished from the partitioning membrane of the cor triatriatum by TEE. 8 Echocardiography demonstrated a connection between the cavity and the peripheral pulmonary veins, suggesting that in this case it was not a left atrial aneurysm.…”

Section: Discussionmentioning

confidence: 99%

Echocardiographic Diagnosis of Pulmonary Vein Varix

Shiraishi

Tatsumi

Kimata

et al. 2003

Circ J

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ulmonary vein varix is a rare abnormality, often presenting as a pulmonary or mediastinal mass on chest roentgenograms, and pulmonary angiography, computed tomography (CT), or magnetic resonance imaging (MRI) is considered necessary for diagnosis. We describe our experience with an unusual case of pulmonary vein varix that was diagnosed noninvasively by echocardiography alone. Case ReportA 47-year-old woman was admitted because of chest discomfort. She did not have a history of cardiovascular disease and the results of physical examination, routine blood tests and electrocardiography were unremarkable. Chest radiography suggested a mediastinal mass inside the left cardiac border in the posteroanterior view ( Fig 1A) and behind the cardiac silhouette in the lateral view (Fig 1B). Two-dimensional transthoracic echocardiography (TTE) was performed. On the parasternal long-axis view, the motion and chamber size of the left ventricle were normal, and there was no enlargement of the left atrial or right ventricular chambers. On the short-axis view and apical 4-chamber view, an echo-free mass was observed outside the posterolateral wall of the left atrium (Fig 2A,B). There was no indentation of the left ventricular wall, suggesting that the mass was an extrapericardial structure. Color Doppler echocardiography detected blood flow from the mass into the left atrium (Fig 2C). Mitral regurgitation was not evident. Transesophageal echocardiography (TEE) more clearly demonstrated dilatation of the pulmonary vein in the proximal left lower lobe with normal intrapulmonary venous connections (Fig 3A,B). The varix communicated with the left atrium. The right pulmonary veins and left upper pulmonary vein were normal. The wall of the varix was Pulmonary vein varix is a rare abnormality, often resembling a pulmonary or mediastinal mass on chest radiographs, and pulmonary angiography has been the mainstay of diagnosis. An unusual case of pulmonary vein varix was clearly defined by echocardiography performed in a 47-year-old woman with chest discomfort who had been found to have an abnormal structure behind the cardiac silhouette on a chest radiograph.

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Section: Discussionmentioning

confidence: 99%

Echocardiographic Diagnosis of Pulmonary Vein Varix

Shiraishi

Tatsumi

Kimata

et al. 2003

Circ J

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“…However, routine cardiac catheterization and angiography have proven unreliable in differentiating CTT from other causes of left atrial inflow obstruction. More recently, CTT has been diagnosed in adults with the advent of transesophageal echocardiographic imaging techniques [11][12][13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

“…The recent literature includes CTT found by computed tomography in an asymptomatic 75-year-old man and an 80-year-old man with nonobstructive CTT and multiple membrane fenestrations. None required treatment [11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

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Diagnosis and surgical correction of cor triatriatum in an adult: Combined use of transesophageal echocardiography and catheterization

Rorie

Xie

Miles

et al. 2000

Cathet. Cardiovasc. Intervent.

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This is an unusual case of a 37-year-old male whose initial presentation to medical care was for dyspnea. A transthoracic echocardiogram was suspicious for cor triatriatum, which was confirmed by transesophageal echocardiography. Since the resting transmembrane gradient was low, a cardiac catheterization with exercise hemodynamics was performed and demonstrated a marked increase in pulmonary capillary wedge and pulmonary artery pressures. The cor triatriatum was successfully resected at surgery. We have reviewed the English literature and find this to be a unique approach to diagnosis and management.

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“…1 Whereas most cases present during infancy, some others remain asymptomatic until late adulthood and their diagnosis might be missed. 2,3 Clinically, both infant and adult patients present mostly with symptoms mimicking mitral stenosis as a result of the obstructive function of the intra-atrial membrane. 4,5 There are only a few reports of cerebral embolism related to CT. 6-10 Atrial fibrillation (AF) is a quiet frequent accompanying feature that makes the identification of the true cause of cerebral embolism rather challenging.…”

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confidence: 99%