Surgical Treatment of Cor Triatriatum

Arciniegas, Eduardo; Farooki, Zia Q.; Hakimi, Mehdi; Perry, Burton L.; Green, Edward W.

doi:10.1016/s0003-4975(10)61801-2

Cited by 28 publications

(30 citation statements)

References 11 publications

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“…We believe, therefore, that surgical and postoperative management should now be expected to produce good results, certainly after the neonatal period. Compared to other reported results, [10][11][12][16][17][18] the operative mortality in our series was low. Beyond the neonatal period, the surgical correcti on leads to normal anatomic and hemodynamic cardiac status.…”

Section: January 2002contrasting

confidence: 79%

“…Subdivided left atrium was first described by Church in 1868, 1 and first successfully treated surgically by Lewis in 1955. 2 Since that time, a number of case reports, 1,3-9 and small surgical series, [10][11][12][13][14][15][16][17][18][19][20] have been published. The estimated incidence ranged from 0.1% to 0.4% of all congenital cardiac defects.…”

Section: Discussionmentioning

confidence: 99%

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The spectrum of subdivided left atrium: diagnosis, treatment and outcome in eight patients

Knirsch

Lewin

Rein³

et al. 2002

Cardiol Young

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From January 1996 to April 2001, we treated eight patients with subdivided left atrium. Their ages at diagnosis ranged from newborn to 6.4 years. Prominent clinical symptoms were failure to thrive, respiratory symptoms, demand for oxygen, and congestive cardiac failure. Diagnosis was made by transthoracic echocardiography in all cases. Cardiac catheterization was necessary only in those patients who had associated cardiac anomalies, or suspected signs of pulmonary hypertension. In 7 patients, surgery was performed immediately after diagnosis, but one preterm infant died before operation due to neonatal sepsis and respiratory distress syndrome. In the postoperative period, one patient developed a severe capillary leak syndrome, and died due to irreversible congestive cardiac failure. The other 6 patients have all been followed up, with good results in the short- and intermediate-term at a mean of 34.3+/-20.2 months. The infants were thriving, had a reduction in the frequency of infections of the respiratory tract, no significant arrhythmias, and showed early recovery from pulmonary hypertension and right ventricular hypertrophy.

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Section: January 2002contrasting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

The spectrum of subdivided left atrium: diagnosis, treatment and outcome in eight patients

Knirsch

Lewin

Rein³

et al. 2002

Cardiol Young

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“…Either the type of the dividing membrane (total/ incomplete), the size of the connecting orifice, or the relation to the pulmonary veins were used to classify the different types of cor triatriatum [7, 8,14,23,26]. We doubt that in such a rare disease (all in all about 150 cases in the literature) a classification makes sense.…”

Section: Discussionmentioning

confidence: 99%

Cor Triatriatum

Krasemann

Scheld

Tjan

et al. 2007

Herz

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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, therapy of choice is excision of the membrane. Upon ten new cases, the association with other congenital heart diseases (CHDs), clinical symptoms and the surgical approach are discussed. Eight of ten patients were children, six of them aged<1 year. Additional CHDs included atrial and ventricular septal defects, partial anomalous pulmonary venous return and complex CHD. Surgery was performed in all cases. Prognosis is related to associated CHD.

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“…The preoperative diagnosis of cor triatriatum and associated anomalies is important for successful surgical outcome [1]. In patients with cor triatriatum, PAPVC and persistent LSVC are relatively frequent and the possible presence of these defects needs to be investigated.…”

Section: Discussionmentioning

confidence: 99%

“…Partial anomalous pulmonary venous connection (PAPVC) is present in 9%-25% of patients with cor triatriatum [1,2,9]. Previous reports have described direct anastomosis of pulmonary veins to the right atrium [7,15] or drainage to the superior vena cava either directly [7,17] or via the vertical and innominate veins [2,7,9,16].…”

mentioning

confidence: 99%

Cor triatriatum associated with partial anomalous pulmonary venous connection to the coronary sinus: Echocardiographic and angiocardiographic features

et al. 1987

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An infant girl is described who had cor triatriatum and partial anomalous pulmonary venous connection of the left pulmonary veins to the coronary sinus, the first report of this combination of lesions. The infant also had a Dandy-Walker malformation and multiple facial and intrathoracic hemangiomas. The cardiac diagnosis was made by two-dimensional echocardiography. Cardiac catheterization and angiography confirmed the findings and also demonstrated a persistent left superior vena cava draining to the coronary sinus. The infant underwent successful surgical repair. Partial anomalous pulmonary venous connection and left superior vena cava not infrequently are associated with cor triatriatum. Although two-dimensional echocardiography is sensitive for the detection of cor triatriatum, preoperative cardiac catheterization is necessary to identify unequivocally systemic and pulmonary venous connections.

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Surgical Treatment of Cor Triatriatum

Cited by 28 publications

References 11 publications

The spectrum of subdivided left atrium: diagnosis, treatment and outcome in eight patients

The spectrum of subdivided left atrium: diagnosis, treatment and outcome in eight patients

Cor Triatriatum

Cor triatriatum associated with partial anomalous pulmonary venous connection to the coronary sinus: Echocardiographic and angiocardiographic features

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