tailieunhanh - Báo cáo y học: "Cor triatriatum presenting as heart failure with reduced ejection fraction: a case report"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Cor triatriatum presenting as heart failure with reduced ejection fraction: a case report. | Kokotsakis et al. Journal of Cardiothoracic Surgery 2011 6 83 http content 6 1 83 JCTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Cor triatriatum presenting as heart failure with reduced ejection fraction a case report 1 2 3 1 1 John Kokotsakis Vania Anagnostakou George Almpanis Ioannis Paralikas Ioannis Nenekidis Theodoros Kratimenos2 Efi Prapa1 Nikolitsa Tragotsalou3 Achilleas Lioulias1 and Andreas Mazarakis3 Abstract Cor triatriatum is a rare congenital cardiac malformation and it usually refers to the left atrium. We report an unusual case of cor triatriatum in a 33 - year old woman presented with congestive heart failure caused by left ventricular systolic dysfunction. Background Cor triatriatum is a rare congenital cardiac malformation with an estimated incidence of 0 1 of all congenital heart disease and it usually refers to the left atrium cor triatriatum sinister . In cor triatriatum sinister the left atrium is divided by a fibromuscular membrane into two distinct chambers a posterior - superior chamber receiving the four pulmonary veins and an anterior -inferior chamber true left atrium that connects to the left ventricle by means of the mitral valve 1 . In the majority of cases it is diagnosed in neonatal period or early infancy whereas adult cases are very rare. We report an unusual case of cor triatriatum in a 33 - year old woman presented with congestive heart failure caused by left ventricular systolic dysfunction. Case presentation A 33 - year old woman presented to our cardiology service with signs and symptoms of congestive heart failure. Her medical history was unremarkable however a year ago and soon after her third child delivery she had been admitted in another hospital for acute pulmonary oedema after labor. Cor triatriatum with obstructive behavior causing pulmonary hypertension had bee diagnosed while the left ventricle was structurally and functionally intact. The patient at that time denied .