Non-invasive ventilation as an alternative to the endotracheal intubation is associated with less infectious complications and injury to the airways. In a study cohort that included 50 patients with type II respiratory failure with the commonest diagnosis of chronic obstructive pulmonary disease (COPD) exacerbation with or without associated co-morbidities, mechanical ventilation with non-invasive positive pressure ventilation (NIPPV) was applied and the response was observed in terms of change in various clinical and laboratory parameters after 1 hour, at the time of weaning, and 6 hours after weaning. There was significant improvement with NIPPV in form of increase in pH and PaO 2 and decrease in PaCO2 and HCO3 after 1 hour of NIPPV application, which also persisted after successful weaning. The patients who failed NIPPV had significantly high respiratory rate, low pH value, and high PaCO 2 on admission.

Introduction: Congenital anatomic variants are more frequent in the right atrium. Complete or incomplete bisection of the right atrium by a membrane-like fold across the cavity is designated as cor triatriatum dexter. Even though most of the cases of congenital atrial remnants are asymptomatic, the clinical consequences in the presence of cardiovascular diseases are very contemplative.Case Report: We report a case of an elderly patient with acute coronary syndrome and an incidental finding of pseudo-cor triatriatum dexter. Coronary angiography and intervention was done without any complications. Conclusion:Being an extremely rare entity, a partial form of cor triatriatum dexter is an important congenital anomaly to document on echocardiography, and clinical implications could be correlated by clinicians during the management of multidisciplinary diseases.

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