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Open Access Highly Accessed Case report

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

Righab Hamdan1*, Nicolas Mirochnik2, David Celermajer3, Pierre Nassar2 and Laurence Iserin2

Author Affiliations

1 Saint Antoine Hospital, Paris, France

2 European hospital Georges Pompidou, Paris, France

3 Scandrett Professor of Cardiology, University of Sydney Clinical Academic Cardiologist, Royal Prince Alfred Hospital, Sydney

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BMC Cardiovascular Disorders 2010, 10:54  doi:10.1186/1471-2261-10-54

Published: 28 October 2010

Abstract

Background

Cor triatriatum is a very rare congenital abnormality, usually symptomatic during childhood, diagnosis in adult age is less common.

Case Presentation

We 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.

Conclusions

Cor 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.