Document Detail

Cor triatriatum sinistrum: one institution's 28-year experience.
MedLine Citation:
PMID:  1614924     Owner:  NLM     Status:  MEDLINE    
Twelve patients with cor triatriatum sinistrum were treated over a 28-year period. Their ages ranged from 1 month to 7.5 years. Congestive heart failure was the most common presentation. Cardiac catheterization was performed on six of the 12 patients and a correct diagnosis of cor triatriatum was made on angiography in only four of the six. Of the remaining six patients, three were diagnosed as having cor triatriatum by echocardiography and three by autopsy. Echocardiography is now considered to be the diagnostic modality of choice in our institution. Seven patients were operated on and five died prior to diagnosis or treatment Associated cardiac anomalies included persistent left superior vena cava, atrial septal defects, coarctation of the aorta, and total anomalous pulmonary venous drainage. A right atrial, transseptal approach to the common pulmonary chamber and excision of the left atrial membrane was found to be the treatment of choice and was used in six of the seven patients operated on. One patient died in the postoperative period. Thus, cor triatriatum sinistrum, a rare and potentially lethal congenital cardiac anomaly, can be diagnosed by echocardiography and successfully treated surgically with a low operative mortality.
A Gheissari; J R Malm; F O Bowman; F Z Bierman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric cardiology     Volume:  13     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:  1992 Apr 
Date Detail:
Created Date:  1992-07-29     Completed Date:  1992-07-29     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  85-8     Citation Subset:  IM    
Department of Surgery, Columbia Presbyterian Medical Center, New York, New York.
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MeSH Terms
Child, Preschool
Cor Triatriatum / mortality,  surgery*,  ultrasonography
Death, Sudden / pathology
Follow-Up Studies
Postoperative Complications / mortality,  ultrasonography

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