ABSTRACT
Aims and Objectives: Cor triatriatum sinistrum (CTS) and cor triatriatum dextrum (CTD) are rare congenital anomalies characterized by the presence of a perforated septum which divides the respective atrium into a proximal and distal chamber. This report reviews the perioperative course of patients with uncorrected cor triatriatum (CT) undergoing procedures requiring anesthesia. In addition, we performed a literature search that examines the experience of others regarding the peri‑operative course of patients with CT. Materials and Methods: A computerized search of a medical record database was conducted to identify patients with a clinical diagnosis of uncorrected CTD and CTS undergoing surgical procedures. Descriptive statistics were used. Results: We identified 12 adult patients with asymptomatic CTS (n = 7) and CTD (n = 5) who underwent 23 anesthetics. There were no perioperative complications which could be attributed directly to the anatomy of CT. Conclusions: Our observation and review of the literature suggest that patients with asymptomatic CT typically tolerate anesthesia and surgical procedures well.
Subject(s)
Adult , Anesthesia/administration & dosage , Anesthetics/administration & dosage , Cor Triatriatum/classification , Cor Triatriatum/epidemiology , Cor Triatriatum/surgery , Female , Humans , Male , Medical Records Systems, ComputerizedSubject(s)
Adolescent , Cardiac Surgical Procedures , Cardiopulmonary Bypass , Constriction, Pathologic , Cor Triatriatum/complications , Cor Triatriatum/surgery , Cor Triatriatum/diagnostic imaging , Ductus Arteriosus, Patent/diagnosis , Ductus Arteriosus, Patent/surgery , Ductus Arteriosus, Patent/diagnostic imaging , Echocardiography, Transesophageal , Female , Humans , Hypertension, Pulmonary/complications , Hypertension, Pulmonary/diagnostic imaging , Monitoring, Intraoperative , Oximetry , Pulmonary Veins/pathology , Pulmonary Veins/surgeryABSTRACT
Cor triatriatum is defined as a membrane within the left atrium, which might lead to restricted pulmonary venous return. Diagnosis is usually achieved by echocardiography in early infancy. Therapy of choice is the excision of the membrane. Herein, successful correction of cor triatriatum in a 4-year-old girl is presented, and the clinical features, echocardiographic findings, and the surgical treatment are discussed
Subject(s)
Humans , Female , Cor Triatriatum/surgery , Preoperative Care , Echocardiography , Heart Defects, Congenital , Heart Atria , Heart Septal Defects, AtrialABSTRACT
A 24 yrs young housewife with Tetralogy of fallot (TOF) associated with cor-triatriatum was referred to our institution for investigation of cardiac murmur. The laboratory examination confirmed the diagnosis TOF and cor-triatritum. The patient was advised for total corrective surgery and referred to cardiac-surgical department. Here we report the case.
Subject(s)
Adult , Bangladesh , Comorbidity , Cor Triatriatum/surgery , Female , Humans , Outcome Assessment, Health Care , Tetralogy of Fallot/surgeryABSTRACT
Se presentan cinco casos de cor triatriatum correspondientes a sujetos con edad promedio de 3.6 años (límites: 11 meses y 10 años), que fueron manejados durante un periodo de menos de 2 años, y se hace una revisión de la literatura. Tres pacientes fueron operados con resultados satisfactorios, otro enfermo falleció después del cateterismo cardiaco por edema pulmonar agudo y el último, con una obstrucción poco significativa, está en espera del tratamiento quirúrgico. Se hace énfasis en la utilidad del eco Doppler color para establecer el diagnóstico de esta cardiopatía congénita. No tenemos una explicación completa para la frecuencia del tal cardiopatía en un lapso tan corto
Subject(s)
Humans , Male , Female , Cardiac Catheterization , Heart Defects, Congenital/surgery , Heart Defects, Congenital/diagnosis , Cor Triatriatum/diagnosis , Cor Triatriatum/surgery , Echocardiography, Doppler, Color , Pulmonary Edema/etiologyABSTRACT
Cor triatriatum presenting in adulthood is extremely rare. An 18-year-old female patient presented with a clinical picture masquerading mitral valvular heart disease. Both transthoracic and transesophageal echocardiography demonstrated a membrane in the left atrium with no other cardiac anomaly. The patient was successfully operated on without the need for catheterization.
Subject(s)
Adolescent , Cor Triatriatum/surgery , Echocardiography/methods , Echocardiography, Doppler , Female , Heart Atria/surgery , Cardiac Catheterization , HumansABSTRACT
Pacietne de 16 anos com insuficiência cardíaca e hipertensäo pulmonar, simulando estenose mitral. ecocardiografia bidimensional mostrou valva mitral normal e imagem linear em átrio esquerdo, confirmada à angiografia que evidenciou membrana de cor triatriatum com orifício de 4 mm. Realizou-se ressecçäo cirúrgica da membrana, com bom resultado
A 16-year-old patient was evaluated for congestive heart failure and pulmonary hypertension, suggesting mitral valve stenosis. A left atrial membrane with a 4 mm orifice was seen in echocardiography and angiography, and a diagnosis of cor triatriatum was made. The membrane was successfully removed by surgery