CONGENITAL HEART DISEASE IN ADULTS: COR TRIATRIATUM
Elena V. Gordeeva,
Karina V. Karabakhtsieva,
Alim M. Namitokov,
Natalya V. Kizhvatova,
Natalia V. Chumachenko,
Ekaterina K. Donets,
Elena D. Kosmacheva https://doi.org/10.17802/2306-1278-2025-14-3-121-126
Abstract
Highlights
Cor triatriatum is a congenital heart disease that occurs when the atrium is divided into two chambers by a fibro-muscular membrane, the left-sided atrial membrane is more common; it can be associated with a higher incidence of atrial fibrillation. The anomaly incidence rate is less than 0.1% of all congenital malformations and it is mainly diagnosed in infancy. We present a clinical case that describe cor triatriatum in a 38-year-old man.
Abstract
A triatrial heart is one of the rarest congenital heart defects, diagnosed and corrected in infancy. However, with a significant area of fenestrations, patients may remain asymptomatic throughout their life. This article describes the case of a 38-year-old man who was diagnosed at the age of 17. He chose not to undergo surgical correction, and clinical symptoms in the form of paroxysms of atrial fibrillation only appeared at age 30. The patient is observed by cardiologists and cardiothoracic surgeons, tolerates physical exertion well outside of the atrial fibrillation paroxysms, shows no signs of congestion in the pulmonary circulation according to catheterization data, continues to take anticoagulant and antiarrhythmic therapy, and still refrains from surgical treatment. The presented clinical case demonstrates that a rare congenital heart defect can be a cause of atrial fibrillation in a young adult who has been asymptomatic for a long time.
About the Authors
Elena V. Gordeeva
Kuban State Medical University;
State Budgetary Healthcare Institution “Research Institution – Regional Clinical Hospital No.1 named after professor S.V. Ochapovsky” of the Ministry of Health of the Krasnodar Territory
Russian Federation
Russian Federation
PhD, Associate Professor at the Department of Therapy No. 1 of the Kuban State Medical University, Krasnodar, Russian Federation; Therapist of State Budgetary Healthcare Institution “Research Institution – Regional Clinical Hospital No.1 named after professor S.V. Ochapovsky” of the Ministry of Health of the Krasnodar Territory, Krasnodar, Russian Federation
Karina V. Karabakhtsieva
State Budgetary Healthcare Institution “Research Institution – Regional Clinical Hospital No.1 named after professor S.V. Ochapovsky” of the Ministry of Health of the Krasnodar Territory
Russian Federation
Russian Federation
cardiologist of the admission department, State Budgetary Healthcare Institution “Research Institution – Regional Clinical Hospital No.1 named after professor S.V. Ochapovsky” of the Ministry of Health of the Krasnodar Territory, Krasnodar, Russian Federation
Alim M. Namitokov
Kuban State Medical University;
State Budgetary Healthcare Institution “Research Institution – Regional Clinical Hospital No.1 named after professor S.V. Ochapovsky” of the Ministry of Health of the Krasnodar Territory
Russian Federation
Russian Federation
PhD, Associate Professor of the Therapy Department No. 1, Kuban State Medical University, Krasnodar, Russian Federation; Head of Cardiology Department No. 2 for Patients with Myocardial Infarction, State Budgetary Healthcare Institution “Research Institution – Regional Clinical Hospital No.1 named after professor S.V. Ochapovsky” of the Ministry of Health of the Krasnodar Territory, Krasnodar, Russian Federation
Natalya V. Kizhvatova
Kuban State Medical University;
State Budgetary Healthcare Institution “Research Institution – Regional Clinical Hospital No.1 named after professor S.V. Ochapovsky” of the Ministry of Health of the Krasnodar Territory
Russian Federation
Russian Federation
PhD, Associate Professor of the Therapy Department No. 1, Kuban State Medical University, Krasnodar, Russian Federation; Head of Quality Expertise Department, State Budgetary Healthcare Institution “Research Institution – Regional Clinical Hospital No.1 named after professor S.V. Ochapovsky” of the Ministry of Health of the Krasnodar Territory, Krasnodar, Russian Federation
Natalia V. Chumachenko
State Budgetary Healthcare Institution “Research Institution – Regional Clinical Hospital No.1 named after professor S.V. Ochapovsky” of the Ministry of Health of the Krasnodar Territory
Russian Federation
Russian Federation
PhD, Cardiologist of Cardiology Department No. 3, State Budgetary Healthcare Institution “Research Institution – Regional Clinical Hospital No.1 named after professor S.V. Ochapovsky” of the Ministry of Health of the Krasnodar Territory, Krasnodar, Russian Federation
Ekaterina K. Donets
State Budgetary Healthcare Institution “Research Institution – Regional Clinical Hospital No.1 named after professor S.V. Ochapovsky” of the Ministry of Health of the Krasnodar Territory
Russian Federation
Russian Federation
Cardiologist of Cardiology Department No. 2 for Patients with Myocardial Infarction, State Budgetary Healthcare Institution “Research Institution – Regional Clinical Hospital No.1 named after professor S.V. Ochapovsky” of the Ministry of Health of the Krasnodar Territory, Krasnodar, Russian Federation
Elena D. Kosmacheva
Kuban State Medical University;
State Budgetary Healthcare Institution “Research Institution – Regional Clinical Hospital No.1 named after professor S.V. Ochapovsky” of the Ministry of Health of the Krasnodar Territory
Russian Federation
Russian Federation
PhD, Professor, Head of the Department of Therapy No. 1 of the Institute of Continuous Education of the Kuban State Medical University, Krasnodar, Russian Federation; Deputy Chief Physician for the Medical Department of the State Budgetary Healthcare Institution “Research Institution – Regional Clinical Hospital No.1 named after professor S.V. Ochapovsky” of the Ministry of Health of the Krasnodar Territory, Krasnodar, Russian Federation
References
1. Borst H. Ein cor triatriatum. Zentralble Allg Pathol. 1905;16:812–5.
2. Nassar P.N., Hamdan R.H. Cor Triatriatum Sinistrum: Classification and Imaging Modalities. Eur J Cardiovasc Med. 2011;1(3):84-87. doi: 10.5083/ejcm.20424884.21.
3. Ather B., Meredith A., Siddiqui W.J. Cor Triatriatum. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023.
4. Marín-García J., Tandon R., Lucas R.V. Jr., Edwards J.E.. Cor triatriatum: study of 20 cases. Am J Cardiol. 1975;35(1):59-66. doi: 10.1016/0002-9149(75)90559-7.
5. Matsubara Y., Inamura N., Takada N., Fujita T. Prenatal diagnosis of cor triatriatum sinister. Ultrasound Obstet Gynecol. 2023; 61: 124-126. doi:10.1002/uog.26099.
6. Rudienė V., Hjortshøj C.M.S., Glaveckaitė S., Zakarkaitė D., Petrulionienė Ž., Gumbienė L., Aidietis A., Søndergaard L. Cor triatriatum sinistrum diagnosed in the adulthood: a systematic review. Heart. 2019;105(15):1197-1202. doi: 10.1136/heartjnl-2019-314714.
7. Jha A.K., Makhija N. Cor Triatriatum: A Review. Semin Cardiothorac Vasc Anesth. 2017;21(2):178-185. doi: 10.1177/1089253216680495.
8. Karas B.J., Ramirez E., Humbarger C., Yaacoub A. Malignant pulmonary edema in a pregnant woman caused by cor triatriatum. Obstet Gynecol. 2013;122(2 Pt 2):505-507. doi: 10.1097/AOG.0b013e3182955b99.
9. Ullah W., Sattar Y., Rauf H., Roomi S., Shah M.I. A Systematic Review of a Long-forgotten Cause of Atrial Fibrillation and Stroke: Cor Triatriatum. Cureus. 2019;11(12):e6371. doi: 10.7759/cureus.6371.
10. Saxena P., Burkhart H.M., Schaff H.V., Daly R., Joyce L.D., Dearani J.A. Surgical repair of cor triatriatum sinister: the Mayo Clinic 50-year experience. Ann Thorac Surg. 2014;97(5):1659-63. doi: 10.1016/j.athoracsur.2013.12.046.
11. Yaroglu Kazanci S., Emani S., McElhinney D.B. Outcome after repair of cor triatriatum. Am J Cardiol. 2012;109(3):412-6. doi: 10.1016/j.amjcard.2011.09.029.
12. Zaw H.H. Cor Triatriatum and Recurrent Thromboembolic Stroke. Eur J Case Rep Intern Med. 2022;9(12):003668. doi: 10.12890/2022_003668.
Supplementary files
Review
For citations:
Gordeeva E.V., Karabakhtsieva K.V., Namitokov A.M., Kizhvatova N.V., Chumachenko N.V., Donets E.K., Kosmacheva E.D. CONGENITAL HEART DISEASE IN ADULTS: COR TRIATRIATUM. Complex Issues of Cardiovascular Diseases. 2025;14(3):121-126. (In Russ.) https://doi.org/10.17802/2306-1278-2025-14-3-121-126
Views:
82
