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Divided left atrium (cor triatriatum sinistrum) presenting with syncope

Published online by Cambridge University Press:  19 August 2008

Angelo Camerieri
Affiliation:
From the Servizio di CardiologiaIstituto Giannina Gaslini Children's Hospital, Genova
Giacomo Pongiglione*
Affiliation:
Ospedale Genova-Sestri Ponente, the Servizio di Cardiologia, Istituto Giannina Gaslini Children's Hospital,Genova
Alberto Bertolini
Affiliation:
From the Servizio di Cardiologia, and the Divisione di Cardiochirurgia, Istituto Giannina Gaslini Children's Hospital, Genova
*
Dr. Giacomo Pongiglione, Servizio di Cardiologia,Istituto Giannina Gaslini Children's Hospital, 5 Largo Gerolamo Gaslini, 16147 Genova, Italy. Tel. 39-10-5635-543; Fax. 39-10-377-6590.

Summary

Syncope has never been described as the presenting symptom of divided left atrium (cor triatriatum sinistrum). We have now encountered this mode of presentation in an otherwise asymptomatic patient. An upright tilt test elicited syncope prior to surgical correction, but failed to induce any symptom, even subsequent to infusion of isoproterenol, after surgery.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1994

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References

Ostman-Smith, J, Silverman, NH, Oldershaw, P, Lincoln, C.Cor triatriatum sinistrum. Diagnostic features on cross sectional echocardiography. Br Heart J 1984; 54: 211219.CrossRefGoogle Scholar
Oglietti, G, Cooley, DA, lzquierdo, JP,Ventimiglia, A, Muasher, I, Hallman, GL.. Reul, GJ.. Cor triatriatum: operative results in 25 patients. Ann Thorac Surg 1983; 35: 415420.CrossRefGoogle ScholarPubMed
Rodefeld, MD, Brown, JW, Heimansohon, DA, King, H, Girod, DA, Hurwitz, RA, Caldwell, RL.Cor triatriatum: clinical presentation and surgical results in 12 patients. Ann Thorac Surg 1990; 50: 562568.CrossRefGoogle ScholarPubMed
Marin-Garcia, J, Tandon, R, Lucas, RV, Edwards, JE.Cor triatniatum: study of 20 cases. Am J Cardiol 1975; 35: 5966.CrossRefGoogle ScholarPubMed
Abboud, FM.Ventricular syncope: Is the heart a sensory organ? N Engl J Med 1989: 320: 390392.CrossRefGoogle Scholar
Oberg, B, Thoren, P.Increased activity in left ventricular receptors during hemorrhage or occlusion of caval veins in the cat: a possible cause of vasovagal reaction. Acta Physiol Scand 1972; 85: 164173. CrossRefGoogle ScholarPubMed