Cor triatriatum dexter: a rare cause of myocardial infarction and pulmonary embolism in a young adult.

J Thorac Cardiovasc Surg

Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio. Electronic address:

Published: March 2015

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http://dx.doi.org/10.1016/j.jtcvs.2014.11.078DOI Listing

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Cor triatriatum is an uncommon cardiac defect that occurs in 0.1-0.4% of congenital heart disease patients.

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Article Synopsis
  • Cor Triatriatum Dexter (CTD) is a rare heart defect that splits the right atrium into two chambers, with a milder version called incomplete CTD (CTDi) that only partially divides it.
  • CTDi can be linked to interatrial septal defects and often presents in adults who experience cryptogenic strokes, usually leading to referrals for closure of a patent foramen ovale (PFO).
  • Successful PFO closure in patients with CTDi can be challenging due to complications in visualization and device deployment, making advanced imaging techniques and careful planning essential for positive outcomes.
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Two patients with hypoplastic left heart syndrome (HLHS) concomitant with cor triatriatum underwent the staged Norwood procedure following hybrid palliation. Cor triatriatum was diagnosed after birth in both cases. Case 1 with aortic stenosis and mitral atresia underwent bilateral pulmonary artery banding at 2 days of age.

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