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Diagnosis and surgical correction of cor triatriatum in an adult: Combined use of transesophageal echocardiography and catheterization
Author(s) -
Rorie Mark,
Xie GongYuan,
Miles Helga,
Smith Mikel D.
Publication year - 2000
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/1522-726x(200009)51:1<83::aid-ccd19>3.0.co;2-7
Subject(s) - cor triatriatum , medicine , cardiac catheterization , cardiology , presentation (obstetrics) , radiology , atrial fibrillation , left atrium
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. Cathet. Cardiovasc. Intervent. 51:83–86, 2000. © 2000 Wiley‐Liss, Inc.