Author/Authors :
Hayes, Christopher Section of Cardiology - University of Manitoba, Winnipeg, MB, Canada , Liu, Shuangbo Section of Cardiology - University of Toronto, Toronto, ON, Canada , Tam, James W. Section of Cardiology - University of Manitoba, Winnipeg, MB, Canada , Kass, Malek Section of Cardiology - University of Manitoba, Winnipeg, MB, Canada
Abstract :
Cor triatriatum is a rare congenital heart defect that is associated with an increased risk for developing atrial fibrillation. We report
a case of a healthy 38-year-old man who presented in decompensated heart failure and atrial fibrillation with a rapid ventricular
response. A transthoracic echocardiogram (TTE) demonstrated severe biventricular dysfunction and dilatation in addition to cor
triatriatum sinister. He was diuresed with resolution of his symptoms and spontaneously converted back to sinus rhythm. +ere is
limited evidence in the literature surrounding anticoagulation and associated left ventricular dysfunction in the setting of cor
triatriatum which posed difficult therapeutic decisions.