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Related Experiment Videos

Cor triatriatum sinistrum: one institution's 28-year experience.

A Gheissari1, J R Malm, F O Bowman

  • 1Department of Surgery, Columbia Presbyterian Medical Center, New York, New York.

Pediatric Cardiology
|April 11, 1992
PubMed
Summary

Cor triatriatum sinistrum, a rare congenital heart defect, often presents as congestive heart failure. Echocardiography is the preferred diagnostic tool, and surgical repair offers a low operative mortality for this potentially lethal condition.

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Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Congenital Heart Disease

Background:

  • Cor triatriatum sinistrum is a rare congenital cardiac anomaly.
  • It can lead to severe complications, including congestive heart failure.
  • Accurate and timely diagnosis is crucial for effective management.

Purpose of the Study:

  • To review the diagnosis and treatment of cor triatriatum sinistrum.
  • To evaluate the effectiveness of echocardiography in diagnosing this condition.
  • To assess the surgical outcomes for patients with cor triatriatum sinistrum.

Main Methods:

  • Retrospective review of 12 patients with cor triatriatum sinistrum treated over 28 years.
  • Analysis of diagnostic methods including cardiac catheterization, angiography, echocardiography, and autopsy.

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  • Evaluation of surgical approach and outcomes.

    • Main Results:

    • Congestive heart failure was the most common presentation.
    • Echocardiography demonstrated higher diagnostic accuracy compared to cardiac catheterization and angiography.
    • Surgical treatment via a right atrial, transseptal approach with membrane excision was successful in most cases, with low operative mortality.

    Conclusions:

    • Cor triatriatum sinistrum is a rare but potentially lethal congenital heart anomaly.
    • Echocardiography is the diagnostic modality of choice.
    • Surgical intervention with a transseptal approach offers successful treatment with low mortality.