Skip to main content
Erschienen in: Herz 4/2015

01.06.2015 | e-Herz: Case study

Cor triatriatum dexter in a patient with pectus excavatum

A rare cause of right heart failure

verfasst von: C. Kilit, M. Oylumlu, A. Doğan, B. Amasyalı

Erschienen in: Herz | Ausgabe 4/2015

Einloggen, um Zugang zu erhalten

Excerpt

Cor triatriatum dexter (CTD) is an extremely rare congenital anomaly in which the right atrium is divided into two chambers by a membrane caused by persistence of the right valve of the sinus venosus [1]. The persistence of the right leaflet of the venous sinus valve causes a wide range of defects including a prominent Eustachian valve, the Chiari network, and CTD [2]. It has an estimated incidence of around 0.025 % of all congenital heart diseases and is frequently associated with right-sided defects caused by abnormal fetal circulation. Among these, the most frequent are stenosis or atresia of the pulmonary valve, tricuspid valve abnormalities, and atrial septal defects [3]. A patent foramen ovale (PFO) has been shown previously in neonatal and adult patients with CTD [4, 5]. However, CTD and PFO together in a patient with pectus excavatum (PE), which is the most common chest wall deformity affecting 1–300/1,000 individuals, has not been reported in the literature [6]. …
Literatur
1.
Zurück zum Zitat Hansing CE, Young WP, Rowe GG (1972) Cor triatriatum dexter. Persistent right sinus venosus valve. Am J Cardiol 30:559–564PubMedCrossRef Hansing CE, Young WP, Rowe GG (1972) Cor triatriatum dexter. Persistent right sinus venosus valve. Am J Cardiol 30:559–564PubMedCrossRef
2.
Zurück zum Zitat García López JC, Sánchez Pérez I, Cazzaniga M et al (2005) Unusual cyanosing heart defect due to supravalvular tricuspid obstruction in an infant. Rev Esp Cardiol 58:1470–1472CrossRef García López JC, Sánchez Pérez I, Cazzaniga M et al (2005) Unusual cyanosing heart defect due to supravalvular tricuspid obstruction in an infant. Rev Esp Cardiol 58:1470–1472CrossRef
3.
Zurück zum Zitat Eroglu ST, Yildirir A, Simsek V et al (2004) Cor triatriatum dexter, atrial septal defect, and Ebstein’s anomaly in an adult given a diagnosis by transthoracic and transesophageal echocardiography: a case report. J Am Soc Echocardiogr 17:780–782PubMedCrossRef Eroglu ST, Yildirir A, Simsek V et al (2004) Cor triatriatum dexter, atrial septal defect, and Ebstein’s anomaly in an adult given a diagnosis by transthoracic and transesophageal echocardiography: a case report. J Am Soc Echocardiogr 17:780–782PubMedCrossRef
4.
Zurück zum Zitat Kessel-Schaefer A, Linka A, Pretre R, Buser P (2006) Inferior sinus venosus defect associated with incomplete cor triatriatum dexter and patent foramen ovale. Eur J Echocardiogr 7:239–242PubMedCrossRef Kessel-Schaefer A, Linka A, Pretre R, Buser P (2006) Inferior sinus venosus defect associated with incomplete cor triatriatum dexter and patent foramen ovale. Eur J Echocardiogr 7:239–242PubMedCrossRef
5.
Zurück zum Zitat Hoye DJ, Wilson EC, Fyfe DA, Guzzetta NA (2010) Cor triatriatum dexter: a rare cause of neonatal cyanosis. Anesth Analg 110:716–718PubMedCrossRef Hoye DJ, Wilson EC, Fyfe DA, Guzzetta NA (2010) Cor triatriatum dexter: a rare cause of neonatal cyanosis. Anesth Analg 110:716–718PubMedCrossRef
6.
Zurück zum Zitat Schaerer D, Virbalas J, Willis E et al (2013) Pectus excavatum in children with laryngomalacia. Int J Pediatr Otorhinolaryngol 77:1721–1723PubMedCrossRef Schaerer D, Virbalas J, Willis E et al (2013) Pectus excavatum in children with laryngomalacia. Int J Pediatr Otorhinolaryngol 77:1721–1723PubMedCrossRef
7.
Zurück zum Zitat Muñoz Castellanos L, Kari Nivon M, García Arenal F, Salinas CH (1991) The pathological remnants of the right sinus venosus valve. A presentation of 6 hearts of the cor tritriatum dexter type. Arch Inst Cardiol Mex 61:293–301 Muñoz Castellanos L, Kari Nivon M, García Arenal F, Salinas CH (1991) The pathological remnants of the right sinus venosus valve. A presentation of 6 hearts of the cor tritriatum dexter type. Arch Inst Cardiol Mex 61:293–301
8.
Zurück zum Zitat Doucette J, Knoblich R (1963) Persistent right valve of the sinus venosus. So-called cor triatriatum dextrum: review of the literature and report of a case. Arch Pathol 75:105–112PubMed Doucette J, Knoblich R (1963) Persistent right valve of the sinus venosus. So-called cor triatriatum dextrum: review of the literature and report of a case. Arch Pathol 75:105–112PubMed
9.
Zurück zum Zitat Fokin AA, Steuerwald NM, Ahrens WA, Allen KE (2009) Anatomical, histologic, and genetic characteristics of congenital chest wall deformities. Semin Thorac Cardiovasc Surg 21:44–57PubMedCrossRef Fokin AA, Steuerwald NM, Ahrens WA, Allen KE (2009) Anatomical, histologic, and genetic characteristics of congenital chest wall deformities. Semin Thorac Cardiovasc Surg 21:44–57PubMedCrossRef
10.
Zurück zum Zitat DeLeon MM, Magliato KE, Roughneen PT et al (1997) Simultaneous repair of pectus excavatum and congenital heart disease. Ann Thorac Surg 64:557–559PubMedCrossRef DeLeon MM, Magliato KE, Roughneen PT et al (1997) Simultaneous repair of pectus excavatum and congenital heart disease. Ann Thorac Surg 64:557–559PubMedCrossRef
11.
Zurück zum Zitat Sánchez Cascos A (1989) Association of cardiac and sternal malformations. An Esp Pediatr 30:272–274 Sánchez Cascos A (1989) Association of cardiac and sternal malformations. An Esp Pediatr 30:272–274
12.
Zurück zum Zitat Lee YS, Kim KS, Lee JB et al (2007) Cor triatriatum dexter assessed by three-dimensional echocardiography reconstruction in two adult patients. Echocardiography 24:991–994PubMedCrossRef Lee YS, Kim KS, Lee JB et al (2007) Cor triatriatum dexter assessed by three-dimensional echocardiography reconstruction in two adult patients. Echocardiography 24:991–994PubMedCrossRef
13.
Zurück zum Zitat Savas V, Samyn J, Schreiber TL et al (1991) Cor triatriatum dexter: recognition and percutaneous transluminal correction. Cathet Cardiovasc Diagn 23:183–186PubMedCrossRef Savas V, Samyn J, Schreiber TL et al (1991) Cor triatriatum dexter: recognition and percutaneous transluminal correction. Cathet Cardiovasc Diagn 23:183–186PubMedCrossRef
14.
Zurück zum Zitat Leblanc N, Defrancesco TC, Adams AK et al (2012) Cutting balloon catheterization for interventional treatment of cor triatriatum dexter: 2 cases. J Vet Cardiol 14:525–530PubMedCrossRef Leblanc N, Defrancesco TC, Adams AK et al (2012) Cutting balloon catheterization for interventional treatment of cor triatriatum dexter: 2 cases. J Vet Cardiol 14:525–530PubMedCrossRef
15.
Zurück zum Zitat López-Alvarez J, Dukes-McEwan J, Martin MW et al (2011) Balloon dilation of an imperforate cor triatriatum dexter in a Golden Retriever with concurrent double-chambered right ventricle and subsequent evaluation by cardiac magnetic resonance imaging. J Vet Cardiol 13:211–218PubMedCrossRef López-Alvarez J, Dukes-McEwan J, Martin MW et al (2011) Balloon dilation of an imperforate cor triatriatum dexter in a Golden Retriever with concurrent double-chambered right ventricle and subsequent evaluation by cardiac magnetic resonance imaging. J Vet Cardiol 13:211–218PubMedCrossRef
Metadaten
Titel
Cor triatriatum dexter in a patient with pectus excavatum
A rare cause of right heart failure
verfasst von
C. Kilit
M. Oylumlu
A. Doğan
B. Amasyalı
Publikationsdatum
01.06.2015
Verlag
Urban & Vogel
Erschienen in
Herz / Ausgabe 4/2015
Print ISSN: 0340-9937
Elektronische ISSN: 1615-6692
DOI
https://doi.org/10.1007/s00059-014-4076-3

Weitere Artikel der Ausgabe 4/2015

Herz 4/2015 Zur Ausgabe

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.