Use of Inoue balloon dilatation method for treatment of Cor triatriatum stenosis in a child

Huang, Tsai-Wang; Lee, Cheng-Liang; Lin, Chi-Kung; Tseng, Chi-Jen; Hsieh, Kai‐Sheng

doi:10.1002/ccd.10334

Cited by 34 publications

(30 citation statements)

References 35 publications

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“…Surgery has been advocated as early as the neonatal period, 18 and balloon dilation may be successful in older children. 19 Some patients remain asymptomatic until adulthood 20 or may present with sick sinus syndrome in advanced years. 21 In adults, clinical features on presentation can mimic those of mitral stenosis because of the obstructive properties of the membrane 22 ; they include dyspnea with increased pulmonary capillary wedge pressure (PCWP) on exertion.…”

Section: Cor Triatriatummentioning

confidence: 99%

Congenital Anomalies and Malformations of the Vasculature

Virmani¹,

Carter‐Monroe²,

Taylor³

2013

Vascular Medicine: A Companion to Braunwald's Heart Disease

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Section: Cor Triatriatummentioning

confidence: 99%

Congenital Anomalies and Malformations of the Vasculature

Virmani¹,

Carter‐Monroe²,

Taylor³

2013

Vascular Medicine: A Companion to Braunwald's Heart Disease

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“…23 An open surgical approach using cardiopulmonary bypass is preferred over rarely performed percutaneous interventions for treatment of this type of cardiac anomaly. 34 The role of percutaneous balloon dilation in managing this condition remains to be determined. 4,35 If emergency surgery is indicated during pregnancy, the anesthesiologist must follow the same hemodynamic principles used for intraoperative management of mitral stenosis (avoid tachycardia, maintain euvolemia, avoid hypotension [lateral tilt], and avoid an increase in pulmonary vascular resistance from hypoxia, hypercapnia, or certain drugs).…”

Section: Discussionmentioning

confidence: 99%

Isolated cor triatriatum sinistrum and pregnancy: case report and review of the literature

Bojanić

Bursać

Zmijanac

et al. 2013

Can J Anesth/J Can Anesth

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Purpose Isolated cor triatriatum sinistrum (CTS) is a heart malformation in which a perforated fibromuscular membrane divides the left atrium into two chambers. When communication between these chambers is restricted, a patient may have signs and symptoms of mitral stenosis. The later stages of pregnancy are associated with tachycardia and increases in intravascular volume. We describe how this altered physiology may affect pregnant women with asymptomatic CTS. We also review the literature relating to pregnancy in patients with CTS.Clinical features A 30-yr-old primigravida, at 40 weeks of gestation with pre-pregnancy diagnosed asymptomatic CTS, was admitted for delivery. She had no cardiac symptoms during pregnancy, and her vaginal delivery under epidural analgesia was uneventful. This cardiac malformation is infrequently described in pregnant women, but a literature review showed that the physiology of late pregnancy with increases in hemodynamic variables may result in cardiac decompensation. Conclusion While our patient with isolated CTS and an unrestrictive intra-atrial membrane had an asymptomatic pregnancy and an uneventful labour, the literature review suggests that the increase in intravascular volume and heart rate that occurs during late pregnancy and after delivery may result in cardiac decompensation, even in patients with asymptomatic CTS. RésuméObjectif Le coeur triatrial gauche (CTG) isole´est une malformation cardiaque dans laquelle une membrane fibromusculaire perfore´e divise l'oreillette gauche en deux chambres. Lorsque la communication entre ces chambres est restreinte, le patient pourrait pre´senter les signes et symptômes d'une ste´nose mitrale. En fin de grossesse, on peut observer de la tachycardie et des augmentations du volume intravasculaire. Nous de´crivons la façon dont cette physiologie modifie´e pourrait affecter les femmes enceintes atteintes de CTG asymptomatique. Nous passons e´galement en revue la litte´rature portant sur la grossesse chez les patientes atteintes de CTG. É léments cliniques Une primigeste de 30 ans, a`40 semaines de grossesse et chez laquelle un diagnostic de CTG asymptomatique avait e´te´pose´avant la grossesse, a e´te´admise a`l'hôpital pour l'accouchement. Pendant la grossesse, elle n'a pre´sente´aucun symptôme cardiaque, et Drs Bojanić and Bursać contributed equally to this work.

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“…4 En nuestro caso, la auriculotomía izquierda fue elegida debido a que la AI se encontraba casi anterior, por lo tanto, fue más accesible quirúrgicamente que su homóloga contralateral. También se ha descrito el tratamiento del CT mediante cateterismo en niños, 11 pero no en neonatos ni lactantes.…”

Section: Figura 3 a Doppler Color Corte Subcostal: Foramen Oval Peunclassified

Síndrome de Silver-Russell (hemihipertrofia) y cor triatriatum en un neonato

Ríos-Méndez

Montero-Monar²,

Fernández-Alvarado³

et al. 2015

arch Argent Pediat

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Presentación de casos clínicos RESUMENTanto el síndrome de hemihipertrofia como el cor triatriatum son patologías sumamente infrecuentes. La hemihipertrofia se define como el sobrecrecimiento completo o parcial de uno de los hemicuerpos. El cor triatriatum es una cardiopatía congénita caracterizada por una membrana que divide la aurícula izquierda en dos cámaras; si esta membrana tiene un orificio restrictivo, provoca obstrucción al pasaje sanguíneo desde las venas pulmonares hacia el ventrículo izquierdo, lo que genera hipertensión y edema pulmonar. En este contexto, el ductus arterioso permeable puede actuar como vía de descompresión del circuito pulmonar al permitir el pasaje sanguíneo desde la arteria pulmonar hacia la aorta. Presentamos a un paciente con diagnóstico de síndrome de Silver-Rusell (hemihipertrofia), cor triatriatum y ductus arterioso con flujo invertido. Hasta donde conocemos, esta asociación de patologías infrecuentes y forma de presentación no se han descrito anteriormente. Palabras clave: corazón triatrial, conducto arterial, hipertensión pulmonar, trastornos del crecimiento, síndrome de Silver-Russell. ABSTRACTHemihypertrophy syndrome and cor triatriatum are extremely rare pathologies. Hemihypertrophy is defined as complete or partial overgrowth of one of the hemibodies. Cor triatriatum is a congenital heart disease characterized by a membrane which separates the left atrium into two chambers; if that membrane has a restrictive hole, it causes obstruction to blood passage from the pulmonary veins into the left ventricle causing hypertension and pulmonary edema. In this context, the patent ductus arteriosus can act as a means of decompression of the pulmonary circuit, because it allows the blood passage from the pulmonary artery to the aorta. We report a patient with Silver-Rusell syndrome (hemihypertrophy), cor triatriatum and ductus arteriosus with reverse flow. To our knowledge, this association of rare pathologies and this clinical presentation have not been described previously. El cor triatriatum (CT) es una cardiopatía congénita acianótica poco frecuente, en la que la aurícula izquierda (AI) está dividida en una cámara posterior o accesoria, que recibe las venas pulmonares, y una cámara anterior o AI verdadera, que está en relación con la válvula mitral y la orejuela. Los signos y síntomas más frecuentes que se presentan en esta patología son soplo, disnea, infecciones respiratorias, insuficiencia cardíaca, hipertensión pulmonar y edema agudo pulmonar. Los últimos son secundarios a la obstrucción del flujo sanguíneo venoso pulmonar hacia la AI verdadera si el orificio de la membrana intraatrial es muy pequeño. Sin embargo, si el orificio no es restrictivo o se presenta asociado a un defecto amplio del septum interatrial en la cámara accesoria, los signos de obstrucción sanguínea pulmonar no se hacen evidentes.Se han comunicado algunos defectos asociados al CT, tales como comunicación interventricular, estenosis de la arteria pulmonar, conexión anómala de las venas pulmonares, persist...

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Use of Inoue balloon dilatation method for treatment of Cor triatriatum stenosis in a child

Cited by 34 publications

References 35 publications

Congenital Anomalies and Malformations of the Vasculature

Congenital Anomalies and Malformations of the Vasculature

Isolated cor triatriatum sinistrum and pregnancy: case report and review of the literature

Síndrome de Silver-Russell (hemihipertrofia) y cor triatriatum en un neonato

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