Cor triatriatum dexter is a rare congenital malformation in which a membran
e divides the right atrium into two chambers. The membrane represents a per
sistence of the right sinus venosus valve (RSV). Normally the RSV regresses
between the 9th and 15th week of gestation, as the cephalic portion forms
the crista terminalis and the caudal portion develops into the Eustachian a
nd Thebesian valve. Any failure in the regression process may result in rem
nants of RSV as a simple muscle bar, a Chiari-network or a fenestrated or u
nfenestrated membrane (cor triatriatum dexter). We describe a patient with
cor triatriatum dexter in whom diagnosis was made several years after succe
ssful valvulotomy procedure for severe congenital valvular pulmonary stenos
is.