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Published on: February 11, 2022
Cor triatriatum sinistrum: surgical experience in Taiwan
Yao-Kuang Huang1, Jaw-Ji Chu, Jen-Ping Chang
1Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, Linko, Kaohsiung and Chia-Yi Center, Chang Gung University of Medicine, 5 Fu-Hsing Street, Kweishan, Taoyuan, 333, Taiwan.
Surgery Today
|May 25, 2007
Summary
Surgical correction for cor triatriatum (CT), a rare heart anomaly, is safe and effective in Asian patients. This study confirms successful outcomes for CT surgical repair in this population.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Pediatric Cardiac Surgery
Background:
- Cor triatriatum (CT) is a rare congenital heart anomaly characterized by a fibromuscular septum dividing the left atrium.
- This anatomical abnormality impedes pulmonary venous return to the left ventricle.
Purpose of the Study:
- To update surgical outcomes of cor triatriatum in the Asian population.
- To evaluate the safety and efficacy of surgical correction for this rare cardiac anomaly.
Main Methods:
- Retrospective analysis of nine patients with cor triatriatum who underwent surgical correction.
- Data collected included cardiac anatomy, clinical presentation, surgical procedures, and follow-up.
Main Results:
- The mean age at surgery was 260 days (range, 20-790 days), with one adult patient.
- Associated anomalies included partial anomalous pulmonary venous connection and atrioventricular canal defect.
- Eight corrective and one palliative surgery were performed with no surgical mortality; mean follow-up was 52.1 months.
Conclusions:
- Surgical correction is an efficient and safe treatment for cor triatriatum.
- Successful surgical outcomes support early intervention for this rare cardiac anomaly.
