Cánovas E, Cazorla E, Alonzo MC, Jara R, Álvarez L, Beric D. Prenatal diagnosis of cor triatriatum sinister associated with early pericardial effusion: A case report. World J Clin Cases 2021; 9(17): 4395-4399 [PMID: 34141806 DOI: 10.12998/wjcc.v9.i17.4395]
Corresponding Author of This Article
Eduardo Cazorla, MD, PhD, Associate Professor, Chief Doctor, Department of Obstetrics and Gynecology, University Hospital of Torrevieja, Ctra. Torrevieja a San Miguel de las Salinas CV 95 Partida de la Ceñuela, Alicante 03186, Spain. ecazorla@torrevieja-salud.com
Research Domain of This Article
Obstetrics & Gynecology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Esther Cánovas, Eduardo Cazorla, Melanie Cristine Alonzo, Rebeca Jara, Leyre Álvarez, Duska Beric, Department of Obstetrics and Gynecology, University Hospital of Torrevieja, Alicante 03186, Spain
Author contributions: Cánovas E collected the case data and designed the article; Cazorla E was responsible for the revision of the manuscript for important intellectual content; Alonzo MC and Jara R reviewed the literature and contributed to manuscript drafting, Álvarez L was the gynecologist who performed the ultrasound examination; Beric D analyzed and interpreted the imaging findings; All authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Eduardo Cazorla, MD, PhD, Associate Professor, Chief Doctor, Department of Obstetrics and Gynecology, University Hospital of Torrevieja, Ctra. Torrevieja a San Miguel de las Salinas CV 95 Partida de la Ceñuela, Alicante 03186, Spain. ecazorla@torrevieja-salud.com
Received: February 1, 2021 Peer-review started: February 1, 2021 First decision: February 28, 2021 Revised: March 10, 2021 Accepted: March 29, 2021 Article in press: March 29, 2021 Published online: June 16, 2021
Abstract
BACKGROUND
Cor triatriatum sinistrum or cor triatriatum sinister is a rare congenital heart disease that accounts for approximately 0.1% of all cardiac abnormalities. It is defined as the presence of an anomalous septum that divides the left atrium into two cavities, and in most cases, it can be asymptomatic or less frequently very severe.
CASE SUMMARY
A 37-year-old pregnant woman visited our hospital. In the first trimester scan, we detected signs of fluid in the pericardium (pericardial effusion) that reached the atriums. In the third trimester, an anomalous septum in the left atrium suspicious of cor triatriatum sinister was detected. Expectant management was decided, the pregnancy evolved normally and resulted in uncomplicated delivery of a healthy child. The findings in the prenatal scan were confirmed by echocardiography and the diagnosis of cor triatriatum sinister was confirmed. The newborn was asymptomatic at all times.
CONCLUSION
We show expectant management of cor triatriatum sinister and suggest an association between this entity and early pericardial effusion.
Core Tip: Cor triatriatum sinistrum is a rare finding in a prenatal diagnosis ultrasound, probably as rare as early pericardial effusion. Pericardial effusion has been associated with some congenital heart defects as cardiac diverticulum, but to the best of our knowledge, it has never been shown as the debut of cor triatriatum sinistrum. In this case, we present a case of cor triatriatum sinistrum that debuts as early pericardial effusion and shows the prenatal management.
