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Answer to latest what is your diagnosis
 
Published on 2015-10-17 by Walid Gharzuddine
 
 
History and Findings
 

Cor triatriatum sinister.

 
 
 
TEE color flow | Biplane TEE
 
 
 
 
 
Discussion
 

Thank you Doctors Saadeh and Chammas for contributing your thoughts and information. Of course you were perfectly right in providing the correct diagnosis and the discussions that ensued saved me the trouble of providing information  on the condition.

I have provided two additional videos on the findings by transesophageal echocardiography in monoplane and biplane views

As to the questions raised:

We felt comfortable with the diagnosis and the information provided by the echocardiographic study was sufficient to refer the patient to surgery wich was successful and uneventful. The mambrane was excised and post operative echocardiography showed complete resolution of the pathology and the gradient.

As to what was mentioned by Dr. Saadeh regarding the presence of mitral regurgitation careful examination  shows that the flow throgh the membrane opening was continuous throughout systole and diastole ( similar to pulmonary venous flow) with no significant mitral regurgitation.

Finally while I was searching the literature for references on the condition I came across a manuscript authored by our colleagues Dr. Righab Hmadan and Pierre Nassar in the European Journal of Cardiovascular Medicine ,2011 January ; 1(3): 84–87 titled Cor triatriatum sinister. Clssification and imaging modalities....

Thank you

 
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Acepahmadfauzi reply on 2017-10-16
 
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