Abstract
We report the case of a 63-year-old woman admitted to the intensive care unit because of acute decompensated right heart failure. Transthoracic and transesophageal echocardiography revealed severe right ventricular dysfunction with severe tricuspid regurgitation of unknown origin and a large membrane running from the inferior vena cava to the interatrial septum with significant diastolic transmembrane gradient, consistent with the diagnosis of cor triatriatum dexter. The clinical interest of our findings relies on the coexistence of multiple diseases, which actually contributed in a different but synergistic manner to right heart failure.
MeSH terms
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Abnormalities, Multiple / diagnostic imaging
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Acute Disease
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Combined Modality Therapy
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Echocardiography, Transesophageal
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Fatal Outcome
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Female
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Heart Atria / abnormalities*
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Heart Atria / diagnostic imaging
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Heart Defects, Congenital / complications
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Heart Defects, Congenital / diagnosis*
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Heart Failure / drug therapy
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Heart Failure / etiology*
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Heart Failure / therapy
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Humans
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Liver Failure / complications
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Middle Aged
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Thrombocytopenia / complications
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Tomography, X-Ray Computed
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Tricuspid Valve Insufficiency / complications*
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Tricuspid Valve Insufficiency / diagnostic imaging
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Vena Cava, Inferior / abnormalities
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Vena Cava, Inferior / diagnostic imaging