Publication Date

1-1-2013

Journal

The Texas Heart Journal

PMID

24391336

Publication Date(s)

2013

Language

English

PMCID

PMC3853815

PubMedCentral® Posted Date

2013

PubMedCentral® Full Text Version

Post-Print

Published Open-Access

yes

Keywords

Cor triatriatum/complications/diagnosis/surgery, heart atria/abnormalities, heart defects, congenital/surgery, syncope/etiology, treatment outcome

Abstract

Cor triatriatum sinister, a congenital cardiac anomaly involving a fibromuscular membrane that partitions the left atrium into 2 chambers, has been reported in only 0.1% to 0.4% of patients with congenital heart disease. The posterosuperior chamber receives blood from the pulmonary veins, and the anteroinferior chamber contains the left atrial appendage and mitral valve orifice. Most patients are diagnosed with the condition in infancy or childhood; adult cases are rare. We describe a case of cor triatriatum sinister in a 43-year-old man whose only presenting symptom was recurrent syncope. He underwent corrective resection of the membrane and was asymptomatic thereafter. In addition to discussing the patient's case, we review the relevant medical literature.

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