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Cor Triatriatum Sinister in an Adult: Management Guided by Real Time Three‐Dimensional Transesophageal Echocardiography and Stress Echocardiography
Author(s) -
Willens Howard J.,
Ferrer Peter L.,
Tamer Dolores F.,
Labrador Eugenio,
Agatston Arthur S.,
Keith Karen,
Torres Silvia
Publication year - 2010
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.2010.01214.x
Subject(s) - cor triatriatum , medicine , cardiology , stenosis , chest pain , doppler echocardiography , pulmonary artery , radiology , left atrium , blood pressure , atrial fibrillation , diastole
A 39‐year‐old female had cor triatriatum (CT) detected as an incidental finding on transthoracic echocardiography performed to evaluate chest pain. By conventional two‐ and real time three‐dimensional transesophageal echocardiography, the CT membrane had a communicating orifice connecting the accessory and main left atrial chambers that measured 1.3 × 0.8 cm. The resting mean transmembrane gradient was 2 mm Hg. The postexercise mean transmembrane gradient and pulmonary artery pressure were 6 and 40 mm Hg. Extrapolating from cutoff values for postexercise gradients and pulmonary pressures in patients with mitral stenosis, we advised deferring surgery and close clinical and echocardiographic follow up. (Echocardiography 2010;27:E132‐E136)