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A 6-year-old girl presented with progressive dyspnoea and cyanosis. Examination revealed grade 1 clubbing, cyanosis (saturation of 85%), right ventricular (RV) heave, and loud S2. ECG and chest radiograph showed evidence of RV pressure overload (Supplementary material online, Figures S1 and S2 ). Transthoracic echocardiography demonstrated a membrane dividing the left atrium (LA) into a proximal accessory chamber (AC) and a distal main chamber, consistent with classic cor triatriatum ( Panel A — parasternal long …

Classic cor triatriatum with opposing shunts at the atrial level: a rare association