Cor triatriatum: A multimodality imaging approach

Malik, Amyn; Fram, Daniel B.; Mohani, Amir; Fischerkeller, Mark; Yekta, Arshad; Mohyuddin, Yaqoob; Taub, Cynthia C.

doi:10.1016/s0828-282x(08)70593-2

Cited by 16 publications

(17 citation statements)

References 4 publications

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“…In the present study on adults with CTS, 17.5% of patients were asymptomatic at the time of diagnosis. Adults with CTS most frequently present with dyspnoea on exertion, orthopnoea and palpitations 1 8 18 35–39. CHF-related symptoms were present in 26.9% of patients in this review, which is lower than in previous studies 23 27 28 35.…”

Section: Discussioncontrasting

confidence: 59%

Cor triatriatum sinistrum diagnosed in the adulthood: a systematic review

Rudienė

Hjortshøj

Glaveckaitė

et al. 2019

Heart

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BackgroundWe performed a systematic review of cor triatriatum sinistrum (CTS) diagnosed in adults. The aim of this review was to describe the clinical presentation, natural history and management of this congenital heart disease.MethodsA PubMed literature search for ‘cor triatriatum sinistrum’ published since 2005 was performed. Included patients were divided into those with and without obstructive membrane physiology. The clinical course differences were compared.ResultsA total of 171 published cases were included. The median age at diagnosis was 43 years (IQR, 30–60). Obstructive membrane physiology was observed in 70 (41%), and this patient group was younger at presentation (median age 39 (IQR, 28–52) vs 50 years (IQR, 32–64), p=0.003).Patients with obstructive membrane more frequently had associated cardiac defects (58.6% vs 42.4%, p=0.039). Overall, the most frequent clinical symptom was atrial fibrillation, as this was present in 56 (32.8%) of all patients. CTS-related symptoms were more frequent in patients with obstructive membrane: congestive heart failure (44.3% vs 15.2%, p<0.001), pulmonary hypertension (27.1% vs 6.1%, p<0.001), haemorrhage (8.6% vs 0%, p=0.004) and infections manifestation (8.6% vs 0%, p=0.004).A total of 71 (41.5%) patients with CTS required interventional treatment, mainly within patients with the obstructive membrane (86.8% vs 12.6%, p<0.001).ConclusionThe natural history of CTS most often manifests with symptoms of congestive heart failure. Patients with obstructive membrane most often have associated cardiac defects and higher risk for infections and haemorrhage. The interventional treatment of CTS remains the first choice for obstructive membrane.

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Section: Discussioncontrasting

confidence: 59%

Cor triatriatum sinistrum diagnosed in the adulthood: a systematic review

Rudienė

Hjortshøj

Glaveckaitė

et al. 2019

Heart

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“…Although subject to debate, the embryologic explanation of this congenital abnormality holds that the anomalous membrane could be the result of abnormal growth of the septum primum or could be due to abnormal incorporation of embryonic common pulmonary vein into the left atrium. It is also postulated that persistence of a left‐sided superior vena cava may impinge on the left atrium and cause the growth of the abnormal membrane . The membrane appears anatomically to be an extension of the Coumadin ridge.…”

Section: Discussionmentioning

confidence: 99%

“…It is also postulated that persistence of a left-sided superior vena cava may impinge on the left atrium and cause the growth of the abnormal membrane. 6,7 The membrane appears anatomically to be an extension of the Coumadin ridge.…”

Section: Discussionmentioning

confidence: 99%

Cor Triatriatum Sinister: A Patient, a Review, and Some Unique Findings

et al. 2014

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“…Successful percutaneous balloon dilation has been described but surgery remains the gold standard in the management of symptomatic cor triatriatum sinister [1]. …”

Section: Discussionmentioning

confidence: 99%

Cor Triatriatum Sinister diagnosed in adult life with three dimensional transesophageal echocardiography

Hamdan

Mirochnik

Celermajer

et al. 2010

BMC Cardiovasc Disord

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BackgroundCor triatriatum is a very rare congenital abnormality, usually symptomatic during childhood, diagnosis in adult age is less common.Case PresentationWe report the case of a 40 years old woman referred to our hospital for atrial flutter ablation, transthoracic cardiac bidimensional echocardiography showed an abnormal membrane bisecting the left atrium, the diagnosis of cor triatriatum was fully made via three dimensional transesophageal echocardiography. More interstingly three other cardiac anomalies were associated: ostium secundum atrial septal defect, dilated coronary sinus due probably to persistent left superior vena cava and normally functioning bicuspid aortic valve.ConclusionsCor triatriatum sinister in adult life is important to recognize because it may be easily surgically correctable when hemodynamically significant. Three Dimensional transesophageal echocardiography is a minimally invasive and highly sensitive diagnostic modality.

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Cor triatriatum: A multimodality imaging approach

Cited by 16 publications

References 4 publications

Cor triatriatum sinistrum diagnosed in the adulthood: a systematic review

Cor triatriatum sinistrum diagnosed in the adulthood: a systematic review

Cor Triatriatum Sinister: A Patient, a Review, and Some Unique Findings

Cor Triatriatum Sinister diagnosed in adult life with three dimensional transesophageal echocardiography

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