Hostname: page-component-78c5997874-v9fdk Total loading time: 0 Render date: 2024-11-17T22:20:36.044Z Has data issue: false hasContentIssue false

Rare combination of bilateral divided atrial chambers and pulmonary vein stenosis with review of the literature

Published online by Cambridge University Press:  16 June 2014

Faris Al-Mousily
Affiliation:
Department of Cardiovascular Diseases, King Faisal Specialist Hospital & Research Center Gen. Org. Jeddah, Kingdom of Saudi Arabia Department of Pediatrics, University of Florida, Gainesville, United States of America
Ghassan Baslaim
Affiliation:
Department of Cardiovascular Diseases, King Faisal Specialist Hospital & Research Center Gen. Org. Jeddah, Kingdom of Saudi Arabia
Amjad Kouatli
Affiliation:
Department of Cardiovascular Diseases, King Faisal Specialist Hospital & Research Center Gen. Org. Jeddah, Kingdom of Saudi Arabia
Jameel Al-Ata
Affiliation:
Department of Cardiovascular Diseases, King Faisal Specialist Hospital & Research Center Gen. Org. Jeddah, Kingdom of Saudi Arabia
Amin M. Arfi*
Affiliation:
Department of Cardiovascular Diseases, King Faisal Specialist Hospital & Research Center Gen. Org. Jeddah, Kingdom of Saudi Arabia
*
Correspondence to: Dr A. M. Arfi, MBC J-16, PB 40047, Jeddah-21499, Kingdom of Saudi Arabia. Tel: +966 12 667 7777, ext. 62511; Fax: +966 12 667 7777, ext. 62162; E-mail: ped_cardiologist@doctor.com

Abstract

Introduction: The term cor triatriatum is used to describe a fibromuscular partition that divides an atrium into two compartments. It was first used by Borst in 1905, although the lesion had been described before by Church in 1868. Both described divided left atrial chamber (also referred to as cor triatriatum sinister). The incidence of the divided left atrial chamber among patients with congenital heart disease is reported at 0.1% and 0.4% in an autopsy study. Divided right atrial chamber – also referred to as cor triatriatum dexter – is even rarer to an extent that there is no reported incidence and only few hundred cases have been reported so far. A search through pubMed library revealed only 90 publications on humans, either under the term “dexter” or “dextrum”. We would like to report a new association of bilateral divided atrial chambers and pulmonary vein stenosis, with a review of the literature.

Type
Review Articles
Copyright
© Cambridge University Press 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Anderson, RH, Baker, EJ, Redington, A, Rigby, ML, Penny, D, Wernovsky, G. Textbook of Paediatric Cardiology, 3rd edn, chapter 26, p. 547. Elsevier Health Sciences, Pennsylvania, 2009.Google Scholar
2. Osman-Smith, I, Silverman, NH, Oldershaw, P, Lincolin, C, Shinebourne, EA. Cor triatriatum sinistrum. Diagnostic features on cross sectional echocardiography. Br Heart J 1984; 51: 211219.CrossRefGoogle Scholar
3. Niwayama, G. Cor triatriatum. Am Heart J 1960; 59: 291317.CrossRefGoogle ScholarPubMed
4. Yater, WM. Variations and anomalies of the venous valves of the right atrium of the human heart. Arch Pathol 1929; 7: 418441.Google Scholar
5. Rossall, R, Caldwell, R. Obstruction of inferior vena cava by a persistent Eustachian valve in a young adult. J Clin Pathol 1957; 10: 4045.CrossRefGoogle ScholarPubMed
6. Trento, A, Zuberbuhler, J, Anderson, R. Divided right atrium (prominence of the eustachian and thebesian valves). J Thorac Cardiovasc Surg 1988; 96: 457463.CrossRefGoogle ScholarPubMed
7. Gerlis, L, Anderson, R. Cor triatriatum dexter with imperforate Ebstein’s anomaly. Br Heart J 1976; 38: 108111.CrossRefGoogle ScholarPubMed
8. Trakhtenbroit, A, Majid, P, Rokey, R. Cor triatriatum dexter: antemortem diagnosis in an adult by cross sectional echocardiography. Br Heart J 1990; 63: 314316.CrossRefGoogle Scholar
9. Raffa, H, Al-Ibrahim, K, Kayali, M, Sorefan, A. Central cyanosis due to prominence of the eustachian and Thebesian valves. Ann Thorac Surg 1992; 54: 159160.CrossRefGoogle ScholarPubMed
10. Bin Zainudin, AR, Tiong, KG, Mokhtar, SA. Cor triatriatum dexter: a rare cause of childhood cyanosis. Ann Pediatr Cardiol 2012; 5: 9294.CrossRefGoogle Scholar
11. Jones, RN, Niles, NR. Spinnaker formation of sinus venosus valve: case report of a fatal anomaly in a ten-year-old boy. Circulation 1968; 38: 468473.CrossRefGoogle Scholar
12. Salam, S, Gallacher, D, Uzun, O. Cor triatriatum dexter masquerading as Ebstein’s anomaly. Cardiol Young 2011; 21: 354356.CrossRefGoogle ScholarPubMed
13. Yarrabolu, T, Simpson, L, Virani, S. Cor triatriatum dexter. Tex Heart Inst J 2007; 34: 383385.Google ScholarPubMed
14. Alboliras, ET, Edwards, WD, Driscoll, DJ, Seward, JB. Cor triatriatum dexter: two-dimensional echocardiographic diagnosis. J Am Coll Cardiol 1987; 9: 334337.CrossRefGoogle ScholarPubMed
15. Masui, T, Seelos, K, Kersting-Sommerhoff, BA, Higgins, CB. Abnormalities of the pulmonary veins: evaluation with MR imaging and comparison with cardiac angiography and echocardiography. Radiology 1991; 181: 645649.CrossRefGoogle ScholarPubMed
16. Joe, BN, Poustchi-Amin, M, Woodard, PK. Case 56: cor triatriatum dexter. Radiology 2003; 226: 701705.CrossRefGoogle ScholarPubMed
17. Savas, V, Samyn, J, Schreiber, TL, Hauser, A, O'Neill, WW. Cor triatriatum dexter: recognition and percutaneous transluminal correction. Cath Cardiovas Diag 1991; 23: 183186.CrossRefGoogle ScholarPubMed

Al-Mousily Supplementary Material

Video 1

Download Al-Mousily Supplementary Material(Video)
Video 4.1 MB

Al-Mousily Supplementary Material

Video 2

Download Al-Mousily Supplementary Material(Video)
Video 1.4 MB

Al-Mousily Supplementary Material

Video 3

Download Al-Mousily Supplementary Material(Video)
Video 23.8 MB