Triphasic Mitral and Tricuspid Flows: A Sign of Diastolic Dysfunction in a Young Patient With Severely Dilated Atria and Giant Pulmonary Veins

This report presents a case with severe dilation of both atria and giant pulmonary veins manifested with atrial fibrillation. The following cardiac magnetic resonance findings are highly suggestive of restrictive physiology: E/A ratio greater than two, prominent A wave across the pulmonary veins and...

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Bibliographic Details
Published in:Pediatric cardiology 2013-12, Vol.34 (8), p.1979-1981
Main Authors: Kozak, Marcelo Felipe, Alariefy, Majied, Kirsh, Joel A., Yoo, Shi-Joon
Format: Article
Language:English
Subjects:
Abnormalities, Multiple
Adolescent
Atrial fibrillation
Cardiac Surgery
Cardiology
Cardiomyopathy, Dilated - congenital
Cardiomyopathy, Dilated - diagnosis
Cardiomyopathy, Dilated - physiopathology
Case Report
Children's hospitals
Diagnosis, Differential
Echocardiography
Electrocardiography
Heart Atria - abnormalities
Humans
Magnetic Resonance Imaging, Cine
Medical imaging equipment
Medicine
Medicine & Public Health
Physiological aspects
Pulmonary Veins - abnormalities
Pulmonary Veins - physiopathology
Tricuspid Valve - abnormalities
Tricuspid Valve - physiopathology
Vascular Surgery
Ventricular Dysfunction, Left - diagnosis
Ventricular Dysfunction, Left - etiology
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Summary:This report presents a case with severe dilation of both atria and giant pulmonary veins manifested with atrial fibrillation. The following cardiac magnetic resonance findings are highly suggestive of restrictive physiology: E/A ratio greater than two, prominent A wave across the pulmonary veins and inferior vena cava, and more interestingly, a triphasic flow across the mitral and tricuspid valves.
ISSN:0172-0643
1432-1971
DOI:10.1007/s00246-012-0521-3