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Divided left atrium in association with tricuspid atresia and discordant ventriculo-arterial connections

Published online by Cambridge University Press:  19 August 2008

Aygun Dindar
Affiliation:
Heart Unit, Birmingham Children's Hospital NHS Trust, Birmingham, UK
William J. Brawn
Affiliation:
Heart Unit, Birmingham Children's Hospital NHS Trust, Birmingham, UK
Joseph V. De Giovanni*
Affiliation:
Heart Unit, Birmingham Children's Hospital NHS Trust, Birmingham, UK
*
Dr J. V De Giovanni, Heart Unit, Birmingham Children's Hospital NHS Trust, Ladywood Middleway, Birmingham B16 SET, UK. Tel: 0121 450 6417; Fax: 0121 452 1791

Abstract

Division of the morphologically left atrium is a rare abnormality, constituting around 0.1% of congenital heart disease. It may coexist with other cardiac abnormalities, and this association may obscure its recognition. We report an uncommon association with tricuspid atresia and discordant ventriculo-arterial connections, the latter dominating the clinical picture. Accurate diagnosis was made by transthoracic cross-sectional echocardiography, and the patient was referred to surgery without need for cardiac catheterisation.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1999

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References

1.Van Praagh, R, Corsini, I. Cor triatriatum: patholigic anatomy and a consideration of morphogenesis based on 13 postmortem cases and a study of normal development of the pulmonary vein and atrial septum in 83 human embryos. Am Heart J 1996; 78: 379405.CrossRefGoogle Scholar
2.Anderson, RH. Understanding the nature of congential division of the atrial chambers. Br Heart J 1992; 68: 13.CrossRefGoogle Scholar
3.Jacobstein, MD, Hirschfield, SS. Concealed left atrial membrane: Pitfalls in the diagnosis of cor triatriatum and supravalvar mitral ring. Am J Cardiol 1982; 49: 780784.CrossRefGoogle Scholar
4.Marin-Garcia, J, Tandon, R, Lucas, RV, Edwards, JE. Cor triatriatum: Study of 20 cases. Am J Cardiol 1975: 35; 5966.CrossRefGoogle ScholarPubMed
5.Ostinan-Smith, I, Silverman, NH, Oldershaw, P, Lincoln, C, Shinebourne, EA. Cor triatriatum sinistrum, diagnostic features on cross sectional echocardiography. Br Heart J 1984; 51: 211219.CrossRefGoogle Scholar
6.Salomone, G, Tiraboschi, R, Bianchi, T, Gerri, F, Crippa, M, Parenzan, L. Cor triatriatum presentation and operative results. J Thorac Cardiovasc Surg 1991; 101: 10881092.CrossRefGoogle ScholarPubMed
7.Shuler, CO, Fyfe, DA, Sade, R, Crawford, FA. Trans-oesophageal echocardiographic evaluation of cor triatriatum in children. Am Heart J 1995: 129; 5075109.CrossRefGoogle Scholar