Document Detail


Congenital division of the left atrium: the influence of associated congenital lesions on the timing and mode of presentation.
MedLine Citation:
PMID:  10737354     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE OF STUDY: Congenital division of an atrium is commonly associated with other cardiac malformations, which may influence presentation. BASIC METHODS: Cases diagnosed at our institution between 1980 and 1997 were reviewed, to determine whether associated lesions influence presentation. PRINCIPLE FINDINGS: 52 patients were diagnosed with atrial division (49 left, 3 right), mean age 4.8 yr. Patients could be divided according to age at diagnosis. Group 1: 32 patients aged < or = 1 yr. 14 patients had associated cardiac malformations other than atrial septal defect (ASD). Presentation was with pulmonary oedema. Group 2: 20 patients > 1 yr. 5 patients had associated major malformations other than ASD. Commonest presentation--isolated shortness of breath. Fifty patients underwent membrane resection and correction of associated anomalies (4% mortality). At follow-up (mean 12 yr) all patients were in NYHA class I or II. CONCLUSIONS: Patients with division of the atrium present early in infancy and with more severe symptoms when associated with other cardiac malformations.
Authors:
A M Alkhulaifi; A Serraf; F Lacour-Gayet; E Belli; C Planché
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Cardiovascular surgery (London, England)     Volume:  8     ISSN:  0967-2109     ISO Abbreviation:  Cardiovasc Surg     Publication Date:  2000 Mar 
Date Detail:
Created Date:  2000-04-13     Completed Date:  2000-04-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9308765     Medline TA:  Cardiovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  159-63     Citation Subset:  IM    
Affiliation:
Marie Lannelongue Hôpital, Université Paris-Sud, France. abdulalkh@btinternet.com
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple* / diagnosis,  epidemiology,  surgery
Adolescent
Adult
Age of Onset
Aged
Cardiac Surgical Procedures
Child
Child, Preschool
Echocardiography, Transesophageal
Female
Heart Atria / abnormalities*,  surgery
Heart Catheterization
Heart Defects, Congenital / diagnosis*,  epidemiology,  surgery
Hemodynamics
Humans
Incidence
Infant
Infant, Newborn
Male
Middle Aged
Retrospective Studies
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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