Intraoperative 2D and 3D transesophageal echocardiographic assessment of cor triatriatum with ostium secundum atrial septal defect in an adult patient

Abstract

Cor triatriatum is a rare congenital cardiac anomaly. Majority of the cases present in the childhood with an incidence of 0.4%. However, we report a case of cor triatrium sinister with ostium secundum atrial septal defect (ASD) in a 39-year-old female. The intraoperative 3D transesophageal echocardiography (TEE) offers an advantage over 2D TEE in visualizing the interatrial septum and the attachments of the fibromuscular accessory membrane in the left atrium (LA), which could help in surgical decision-making in this patient.

Renal-inferior vena cava fistula complicating laparoscopic cholecystectomy causing heart failure repaired endovascularly, a case report and literature review

“…It is characterized by presence of three atria in the heart, due to a fibro-muscular membrane giving rise to an accessory chamber in the left atrium, most cases are found after autopsy (0.4 %). It is usually associated with ASD and total anomalous pulmonary drainage to the right atrium, bicuspid aortic valve, tetralogy of Fallot and double outlet right ventricle [4] , [5] , [6] .…”