Cor triatriatum sinister, reporte de un caso

José Luis Conde Salazar; Aldrix Josué Sisniegas Razón; Franz Soplopuco Palacios

doi:10.47487/apcyccv.v3i4.243

Authors

Jose Luis Conde Salazar Cirugía Cardiovascular, Instituto Nacional Cardiovascular – INCOR. Lima, Peru. https://orcid.org/0000-0002-5768-3856
Aldrix Josue Sisniegas Razon Cirugía Cardiovascular, Instituto Nacional Cardiovascular – INCOR. Lima, Peru. https://orcid.org/0000-0001-5413-6032
Franz Soplopuco Palacios Cirugía Cardiovascular, Instituto Nacional Cardiovascular – INCOR. Lima, Peru. https://orcid.org/0000-0003-2100-3537

DOI:

https://doi.org/10.47487/apcyccv.v3i4.243

Keywords:

Acyanotic Congenital Heart Disease, Cor Triatriatum, Atrial Membrane

Abstract

We report a case of cor triatriatum sinister associated with anomalous pulmonary venous drainage in an adult patient who presented with palpitations, lower limb edema, dyspnea, orthopnea, bendopnea and ascites. The clinical picture began with episodes of atrial fibrillation, associated with rehospitalizations for right heart failure, so angiotomography and transesophageal echography were requested, which led to the final diagnosis. The surgical approach was performed by total excision of the multifenestrating fibromuscular septum and double valvular plasty, due to severe mitral and tricuspid insufficiency, which improved the patient’s clinical condition. The importance of considering this acyanotic congenital heart disease within the differential diagnosis of the causes of right heart failure originating in the left atrium is recognized.

Downloads

Download data is not yet available.

References

Al Kindi HN, Shehata M, Ibrahim AM, Roshdy M, Simry W, Aguib Y, et al. Cor Triatriatum Sinister (Divided Left Atrium): Histopatho- logic Features and Clinical Management. Ann Thorac Surg. 2020;110(4):1380-1386. doi: 10.1016/j.athoracsur.2020.01.025.

Manenti A, Sighinolfi P, Mattioli A. Deep Inside Pathology of Cor Triatriatum Sinister. Ann Thorac Surg. 2021;112(3):1038- 1039. doi: 10.1016/j.athoracsur.2020.10.074.

Zheng Y, Zhu W, Huang X, Lin D. Loeffler’s group 2 cor triatri- atum sinistrum with mobile left atrial thrombus - a case report and literature review. Cardiol Young. 2021;31(4):666-668. doi: 10.1017/S1047951120004497.

Kokotsakis J, Anagnostakou V, Almpanis G, Paralikas I, Ne- nekidis I, Kratimenos T, Prapa E, Tragotsalou N, Lioulias A, Mazarakis A. Cor triatriatum presenting as heart failure with reduced ejection fraction: a case report. J Cardiothorac Surg. 2011;6:83. doi: 10.1186/1749-8090-6-83.

Diestro JDB, Regaldo JJH, Gonzales EM, Dorotan MKC, Espiritu AI, Pascual JLR 5th. Cor triatriatum and stroke. BMJ Case Rep. 2017;2017:bcr2017219763. doi: 10.1136/bcr-2017-219763.

Rudienė V, Hjortshøj CMS, Glaveckaitė S, Zakarkaitė D, Petrulionienė Ž, Gumbienė L, et al. Cor triatriatum sinistrum diagnosed in the adulthood: a systematic review. Heart. 2019;105(15):1197-1202. doi: 10.1136/heartjnl-2019-314714.

Kouchoukos NT, Blackstone EH, Hanley FL. Cor Triatiatum. Kirklin / Barratt-Boyes Cardiac Surgery. 4ta ed. Oxford: Else- vier Books; 2012.

Nakajima T, Van Hung D, Hiramatsu Y. Adult Obstructive Cor Triatriatum with Severe Mitral Regurgitation: A Case Report. Heart Surg Forum. 2021;24(3):E578-E579. doi: 10.1532/ hsf.3871.

Ishiwari K, Nomura K, Ko Y, Hamaya I, Momoki K, Takagi T. Cor triatriatum sinister with left anomalous pulmonary ve- nous drainage to innominate vein: what to do with the vertical vein? Gen Thorac Cardiovasc Surg. 2021;69(4):731-735. doi: 10.1007/s11748-020-01533-w.

Stiermaier T, Reil JC, Eitel I. Cor triatriatum sinister. Clin Res Cardiol. 2018;107(5):447-448. doi: 10.1007/s00392-017- 1197-8

Tamkeviciute L, Tumenas A, Binukrishnan S, Arzanauskaite M. Multimodality Imaging of Cor Triatriatum Sinister in an Adult. Radiol Cardiothorac Imaging. 2020;2(6):e200367. doi: 10.1148/ryct.2020200367.

Cánovas E, Cazorla E, Alonzo MC, Jara R, Álvarez L, Beric D. Prenatal diagnosis of cor triatriatum sinister associated with early pericardial effusion: A case report. World J Clin Cases. 2021;9(17):4395-4399. doi: 10.12998/wjcc.v9.i17.4395.