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Double trouble

  • María Martín
  • Enrique Ríos
  • José Manuel García-Ruíz
  • Cecilia Corros
  • Sergio Hevia
  • Jesús M. de la Hera
  • César Morís
Case-in-Point

Abstract

A 18-year-old boy presented for cardiological evaluation for a previous pleuritic chest pain. Physical exam was normal and ECG showed an early repolarization pattern. Transthoracic echocardiogram revealed an ondulating structure on the left side of the interatrial septum (IAS), without other abnormalities. Transoesophageal study was performed in order to define better the IAS anatomy and assess for other anomalies. It showed a high mobile membrane adjacent and parallel to the IAS with flow into its chamber. Intravenous agitated saline contrast injection excluded the presence of patent foramen ovale (PFO) or interatrial septum defect. We review literature about atrial septal malformations.

Keywords

Double atrial septum Septal pouch Patent foramen ovale 

References

  1. 1.
    Thilenius OG, Bharati S, Lev M (1976) Subdivided left atrium: an expanded concept of cor triatriatum sinistrum. Am J Cardiol 37(5):743–752PubMedCrossRefGoogle Scholar
  2. 2.
    Seyfert H, Bohlscheid V, Bauer B (2008) Double atrial septum with persistent interatrial space, transient ischaemic attack. Eur J Echocardiogr 9(5):707–708PubMedCrossRefGoogle Scholar
  3. 3.
    Krishnan SC, Salazar M (2010) Septal pouch in the left atrium. A new anatomical entity with potential for embolic complications. JACC Cardiovasc Interv 3:98–104PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, B.V. 2010

Authors and Affiliations

  • María Martín
    • 1
  • Enrique Ríos
    • 1
  • José Manuel García-Ruíz
    • 1
  • Cecilia Corros
    • 1
  • Sergio Hevia
    • 1
  • Jesús M. de la Hera
    • 1
  • César Morís
    • 1
  1. 1.Cardiology DepartmentHospital Universitario Central de AsturiasOviedoSpain

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