Objective
As a highly uncommon congenital defect, cor triatriatum sinister represents only 0.1% of congenital cardiac anomalies. Depending on the degree of obstruction and the accompanying symptoms, cor triatriatum can be diagnosed at any age. Treatment for symptomatic patients involves the resection of the diaphragm and the repair of the associated cardiac defect. Just as cor triatriatum may consist of a single isolated lesion, it may also be accompanied by other cardiovascular system anomalies. This case series described four patients operated with cor triatriatum sinister.
Methods
In the case series we are presenting, we evaluated all patients observed at the Ege University Medical Faculty between 2002 and 2012. There were two boys and two girl, aged 6 months, 6, 10 and 18 years, respectively. We delineated the anatomy with TTE in all cases; however, other techniques such as catheter angiography, computed tomography (CT) have been used to establish the diagnosis (Figure 1). All of them had cor triatriatum sinister, with a communication between the proximal and distal chamber. Two of the patients had atrial septal defect. The preoperative left atrial gradient was 7,8,10 and 12 mmHg, respectively.
Methods
In the case series we are presenting, we evaluated all patients observed at the Ege University Medical Faculty between 2002 and 2012. There were two boys and two girl, aged 6 months, 6, 10 and 18 years, respectively. We delineated the anatomy with TTE in all cases; however, other techniques such as catheter angiography, computed tomography (CT) have been used to establish the diagnosis (Figure 1). All of them had cor triatriatum sinister, with a communication between the proximal and distal chamber. Two of the patients had atrial septal defect. The preoperative left atrial gradient was 7,8,10 and 12 mmHg, respectively.
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