Anesthetic management of non-cardiac surgery with adult onset type of cor triatriatum sinister -A case report-

Abstract

A 45-year-old woman with cor triatriatum sinister was admitted for laparoscopic resection of an ovarian tumor. Her medical history was benign with the exception of a single episode of syncope one year ago. A 1.5-cm membrane fenestration was found on echocardiography, but there were no other cardiac structural anomalies. General anesthesia was established with etomidate, sevoflurane, and remifentanil; no notable events occurred during the anesthesia. As cor triatriatum shows a clinical picture of mitral stenosis (MS), careful anesthetic management is required.

Anesthesia and cor triatriatum

“…We identified only six publications that describe patients with uncorrected CT undergoing anesthesia. [11][12][13][14][15][16] Two reports described two adult patients with asymptomatic CTS who had uneventful perioperative course. [14,15] In four isolated reports patients had CTD.…”

“…[11][12][13][14][15][16] Two reports described two adult patients with asymptomatic CTS who had uneventful perioperative course. [14,15] In four isolated reports patients had CTD. [11][12][13]16] One patient, a 67-year-old man with non-obstructive CTD, underwent hydrocelectomy uneventfully.…”

Successful Repair of Cor Triatriatum Sinistrum in Childhood: A Single-Institution Experience of Two Cases

“…Exposure to cold, stress, dehydration, infections, inflammatory cascades, hypoxia, and acidosis are some predisposing factors for sickling. These conditions are pretty common in cardiac surgery [ 17 ].…”

Anesthetic Management of Cesarean Section in a Grown-Up Congenital Heart Patient with Placenta Previa and Giant Placental Tumor: A Case Report

“…However, other reports indicate that patients with CorT require careful management because of myocardial substance damage or hemodynamic problems in non-treated CorT. For example, Lee et al [11] reported that CorT presents a clinical picture of mitral stenosis and careful anesthetic management is required.…”