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CLINICAL CASE REPORT BASED STUDY
Year : 2012  |  Volume : 3  |  Issue : 2  |  Page : 170-172

Coexistence of Cor triatriatum sinistrum and a prominent Eustachian valve mimicking a Cor triatriatum dextrum


1 Osun State University, Osogbo, Nigeria
2 Ladoke Akintola University Teaching Hospital, Osogbo, Nigeria
3 University Teaching Hospital, Ado-Ekiti, Nigeria

Correspondence Address:
A T Oyedeji
P.O. Box 1922, Osogbo, Osun State
Nigeria
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DOI: 10.4103/0975-3583.95378

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Cor triatriatum is among the rarest of all congenital cardiac abnormalities accounting for 0.1-0.4% of all congenital heart disease. Its coexistence with a very prominent Eustachian valve which mimics a Cor triatriatum dextrum is an exceptionally rare finding in an asymptomatic adult. We report the case of a 44 year old male who presented to our department on observing a pulse rate of 44 beats per minute during a home blood pressure check with his digital sphygmomanometer. Clinical examinationwas however, unremarkable and resting electrocardiography showed sinus rhythm with atrial premature complexes. The diagnosis was made on a two dimensional transthoracic echocardiography. Isolated atrial premature complexes and bradycardia may be a clinical presentation of Cor triatriatum in adult population. Although extremely rare, its coexistence with a prominent Eustachian valve may remain asymptomatic into adult life.


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