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Non-Obstructive Cor Triatriatum Sinister

Imaging findings

Chest CT and echocardiography demonstrate a fibrous band dividing the left atrium. The band exhibits dense calcification, which is clearly visible on non-contrast CT. The left atrium is enlarged, but the membrane is non-obstructive, without signs of significant stenosis or elevated trans-membrane gradient.

Key takeaways

Non-obstructive cor triatriatum is often discovered incidentally in adults. Over time, the dividing membrane can develop calcification, which makes it easily visible on chest CT. It must be differentiated from obstructive cor triatriatum or other left atrial masses like myxomas, as the non-obstructive form does not require surgical intervention.

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