Author/Authors :
Gokhroo، Rajendra نويسنده Cardiologist, Department of Cardiology, J.L.N. Hospital, Ajmer, Rajasthan, India , , Ranwa، Bhanwar نويسنده Resident of Cardiology, Department of Cardiology, J.L.N. Hospital, Ajmer, Rajasthan, India , , Kapoor، Kamal نويسنده Resident of Cardiology, Department of Cardiology, J.L.N. Hospital, Ajmer, Rajasthan, India , , Avinash، Ananthraj نويسنده Resident of Cardiology, Department of Cardiology, J.L.N. Hospital, Ajmer, Rajasthan, India , , Priti، Kumari نويسنده Resident of Cardiology, Department of Cardiology, J.L.N. Hospital, Ajmer, Rajasthan, India , , Bisht، Devendra نويسنده Resident of Cardiology, Department of Cardiology, J.L.N. Hospital, Ajmer, Rajasthan, India , , Gupta، Sajal نويسنده ,
Abstract :
Cor triatriatum is an acyanotic congenital heart disease. We present a rare
case of cor triatriatum sinistrum in a 6-month-old female infant who was
presented with cyanosis and failure to thrive. The 2D transthoracic
echocardiography and the Doppler color flow imaging showed a proximal
venous chamber communicating to the distal left atrium through
restrictive opening to the low-pressure, distal left atrial chamber.
The Saline Contrast Echocardiography confirmed a right-to-left atrial
shunt due to a minor atrial septal defect. The defect was caused by a
persistent pulmonary hypertension which had raised the right atrial
pressure in the infant.
To the best of our knowledge, barely any such cases have been reported in
the literature so far. Our report highlights the clinical utility of the Saline
Contrast Echo in other cases of congenital heart diseases.