Interventional Cardiology, Cardiovascular Hospital, Lyon, France.
Radiology, Cardiovascular Hospital, Lyon, France.
Can J Cardiol. 2021 Nov;37(11):1867-1869. doi: 10.1016/j.cjca.2021.08.002. Epub 2021 Aug 9.
Divided atrium (or Cor triatriatum) dexter (DAD) is a rare congenital cardiopathy, usually associated with other anomalies; isolated forms are even rarer. We report the case of an 84-year-old woman presenting with isolated DAD complicated by right-left atrial shunt through patent foramen ovale (PFO), revealed by right cardiac failure and severe hypoxemia. Late destabilization was caused by total superior vena cava thrombosis, related to her pacemaker. Given the overall context, complete percutaneous treatment was performed, associating PFO occlusion and stent implantation in the right atrial membrane, providing total regression of symptoms. Thus, percutaneous correction of DAD appears to be safe and effective.
右房三房心(DAD)是一种罕见的先天性心脏病,通常与其他异常相关;孤立型更为罕见。我们报告了一例 84 岁女性孤立性 DAD 病例,因卵圆孔未闭(PFO)导致右-左心房分流而合并右心衰竭和严重低氧血症。完全性上腔静脉血栓形成与她的起搏器有关,导致晚期不稳定。鉴于整体情况,进行了完全经皮治疗,联合 PFO 闭塞和右心房膜支架植入,使症状完全消退。因此,经皮 DAD 矫正似乎是安全有效的。