Cor triatriatum chest x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Cafer Zorkun, M.D., Ph.D. [3]; Keri Shafer, M.D. [4]; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S. [5]

Overview

Although not the most preferred methodology, chest x rays may be used as a diagnostic tool in the evaluation of a cor triatriatum defect. Diagnostic findings may include cardiac enlargement, mitral stenosis, and potential additional defects.

Chest x-ray

  • When cor triatriatum occurs as an isolated defect, the hemodynamic derangement is identical to that of mitral stenosis and the chest radiography shows a normal sized heart with changes of chronic interstitial edema.
  • Findings are usually nonspecific but may include:
    • Pulmonary congestion with diffuse haziness or Kerley B lines and the ground glass pattern of acute pulmonary edema in hilar areas.
    • Mild cardiac enlargement
    • Prominence of the pulmonary arterial segment.
    • Dilated proximal chamber, may produce the appearance of left atrial enlargement
    • Presence of an atrial septal defect or anomalous pulmonary venous connection. This can cause:
      • Pulmonary overcirculation to the pulmonary venous obstruction
      • Significant right ventricular enlargement

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