PDF herunterladen
Int J Angiol 2024; 33(03): 202-204
DOI: 10.1055/s-0041-1727136
Case Report

Cor Triatriatum Dexter with Noncompaction of Right Ventricle and Complete Heart Block: An Unholy Trinity

Monika Bhandari 
1   Department of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh, India
,
Akshyaya Pradhan 
1   Department of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh, India
,
Pravesh Vishwakarma
1   Department of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh, India
,
Rishi Sethi
1   Department of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh, India
› Institutsangaben
› Weitere Informationen
    Lizenzen und Reprints

Abstract

Cor triatriatum (CT) or a triatrial heart is a rare congenital anomaly in which one of the atrial chambers is divided by a fibromuscular membrane. Of the two variants, CT dexter (right-sided CT) is still further rare than CT sinister (left-sided CT). Although CT sinister presents with features of left heart obstructive disease mimicking mitral stenosis, CT dexter is usually asymptomatic and is found incidentally on imaging. Here, we present a patient with an unusual case of complete heart block who was found to have CT dexter along with right ventricular noncompaction on imaging.

Keywords

cor triatriatum - echocardiography - syncope - permanent pacemaker


Publikationsverlauf

Artikel online veröffentlicht:
30. Juli 2021

© 2021. International College of Angiology. This article is published by Thieme.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Anderson RH. Understanding the nature of congenital division of the atrial chambers. Br Heart J 1992; 68 (01) 1-3
    CrossrefPubMedSuche in Google Scholar
  • 2 Niwayama G. Cor triatriatum. Am Heart J 1960; 59: 291-317
    CrossrefPubMedSuche in Google Scholar
  • 3 Hansing CE, Young WP, Rowe GG. Cor triatriatum dexter. Persistent right sinus venosus valve. Am J Cardiol 1972; 30 (05) 559-564
    PubMedSuche in Google Scholar
  • 4 Gussenhoven WJ, Essed CE, Bos E. Persistent right sinus venosus valve. Br Heart J 1982; 47 (02) 183-185
    CrossrefPubMedSuche in Google Scholar
  • 5 Eroglu ST, Yildirir A, Simsek V. et al. Cor triatriatum dexter, atrial septal defect, and Ebstein's anomaly in an adult given a diagnosis by transthoracic and transesophageal echocardiography: A case report. J Am Soc Echocardiogr 2004; 17 (07) 780-782
    CrossrefPubMedSuche in Google Scholar
  • 6 Buchholz S, Jenni R. Doppler echocardiographic findings in 2 identical variants of a rare cardiac anomaly, “subtotal” cor triatriatum: A critical review of the literature. J Am Soc Echocardiogr 2001; 14 (08) 846-849
    CrossrefPubMedSuche in Google Scholar
  • 7 Choudhary D, Sivasankaran S, Venkateshwaran S, Sasidharan B. Cor triatiratum dexter: A rare cause of isolated right atrial enlargement. Pediatr Cardiol 2013; 34 (01) 198-199
    CrossrefPubMedSuche in Google Scholar
  • 8 Doucette J, Knoblich R. Persistent right valve of the sinus venosus: So-called cor triatriatum dextrum: Review of the literature and report of a case. Arch Pathol 1963; 75: 105-112
    PubMedSuche in Google Scholar
  • 9 Church WS. Congenital malformation of the heart: Abnormal septum in the left auricle. Trans Pathol Soc Lond 1868; 19: 188-190
    PubMedSuche in Google Scholar
  • 10 Fiorilli R, Argento G, Tomasco B, Serino W. Cor triatriatum dexter diagnosed by transesophageal echocardiography. J Clin Ultrasound 1995; 23 (08) 502-504
    CrossrefPubMedSuche in Google Scholar
  • 11 Pennell DJ, Sechtem UP, Higgins CB. et al; Society for Cardiovascular Magnetic Resonance, Working Group on Cardiovascular Magnetic Resonance of the European Society of Cardiology. Clinical indications for cardiovascular magnetic resonance (CMR): Consensus Panel report. Eur Heart J 2004; 25 (21) 1940-1965
    CrossrefPubMedSuche in Google Scholar
  • 12 Masui T, Seelos KC, Kersting-Sommerhoff BA, Higgins CB. Abnormalities of the pulmonary veins: Evaluation with MR imaging and comparison with cardiac angiography and echocardiography. Radiology 1991; 181 (03) 645-649
    CrossrefPubMedSuche in Google Scholar
  • 13 Savas V, Samyn J, Schreiber TL, Hauser A, O'Neill WW. Cor triatriatum dexter: Recognition and percutaneous transluminal correction. Cathet Cardiovasc Diagn 1991; 23 (03) 183-186
    CrossrefPubMedSuche in Google Scholar