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European Journal of Echocardiography 2006 7(3):239-242; doi:10.1016/j.euje.2005.04.006
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Copyright © 2005, The European Society of Cardiology

Inferior sinus venosus defect associated with incomplete cor triatriatum dexter and patent foramen ovale

Arnheid Kessel-Schaefera,*, Andre Linkaa, Rene Pretreb and Peter Busera

aCardiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland
bClinic for Cardiovascular Surgery, University Hospital Zuerich, Ramistrasse, 100, 8091 Zuerich, Switzerland

Received 24 February 2005; accepted after revision 20 April 2005.

* Corresponding author. Tel.: +41 61 265 25 25; fax: +41 61 265 45 98. kessela{at}uhbs.ch


  Abstract

Sinus venosus atrial septal defect (SVD) is a rare cardiac abnormality in adults. Particularly, the inferior type is difficult to depict by transthoracic echocardiography because of its infero-posterior location to the fossa ovalis. We describe the case of a 33-year-old woman whose chest X-ray taken during bronchopneumonia revealed a cardiomegaly. Further echocardiographic investigations showed an underlying inferior SVD, an incomplete cor triatriatum dexter and a large patent foramen ovale (PFO). The diagnosis was confirmed by cardiac magnetic resonance imaging (CMR) and during surgical repair.

Keywords: Sinus venosus defect; Cor triatriatum dexter; Patent foramen ovale


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