Cor triatriatum sinister in an adult: Management guided by real time three-dimensional transesophageal echocardiography and stress echocardiography

Howard J. Willens, Peter L. Ferrer, Dolores F. Tamer, Eugenio Labrador, Arthur S. Agatston, Karen Keith, Silvia Torres

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)E132-E136
JournalEchocardiography
Volume27
Issue number10
DOIs
StatePublished - Nov 1 2010

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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