Diagnosis and surgical correction of cor triatriatum in an adult: combined use of transesophageal echocardiography and catheterization
- Resource Type
- Authors
- Helga Miles; Gong-Yuan Xie; Mark Rorie; Mikel D. Smith
- Source
- Catheterization and cardiovascular interventions : official journal of the Society for Cardiac AngiographyInterventions. 51(1)
- Subject
- Adult
Male
medicine.medical_specialty
Cardiac Catheterization
Heart disease
medicine.medical_treatment
Combined use
Blood Pressure
Pulmonary Artery
Medical care
Internal medicine
medicine.artery
Cor Triatriatum
medicine
Humans
Radiology, Nuclear Medicine and imaging
Pulmonary Wedge Pressure
Cardiac catheterization
business.industry
General Medicine
Surgical correction
medicine.disease
Cor triatriatum
Pulmonary artery
cardiovascular system
Cardiology
Exercise Test
Radiology
Transthoracic echocardiogram
Cardiology and Cardiovascular Medicine
business
Echocardiography, Transesophageal
- Language
- ISSN
- 1522-1946
This is an unusual case of a 37-year-old male whose initial presentation to medical care was for dyspnea. A transthoracic echocardiogram was suspicious for cor triatriatum, which was confirmed by transesophageal echocardiography. Since the resting transmembrane gradient was low, a cardiac catheterization with exercise hemodynamics was performed and demonstrated a marked increase in pulmonary capillary wedge and pulmonary artery pressures. The cor triatriatum was successfully resected at surgery. We have reviewed the English literature and find this to be a unique approach to diagnosis and management.