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Cor triatriatum dexter: recognition and percutaneous transluminal correction
V Savas1, J Samyn, T L Schreiber
1Cardiology Division, William Beaumont Hospital, Royal Oak, Michigan 48073-6769.
Insights
Cor triatriatum dexter, a rare congenital heart defect, can cause severe symptoms. Percutaneous balloon correction offers an effective alternative to surgery for this right atrial anomaly.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Interventional Cardiology
Background:
- Cor triatriatum dexter is a rare congenital anomaly characterized by an obstructive membrane within the right atrium.
- Diagnosis often follows the onset of severe systemic congestion, coagulopathy, and hepatic dysfunction, increasing surgical risks.
Observation:
- A case of cor triatriatum dexter presenting with advanced right-sided congestive symptoms and hepatic dysfunction is described.
- The patient underwent a percutaneous balloon correction procedure.
Findings:
- Percutaneous balloon correction was an efficacious treatment for cor triatriatum dexter.
- This minimally invasive approach provided an alternative to surgical correction.
Implications:
- Percutaneous balloon correction may be a viable alternative to surgery for cor triatriatum dexter.
- The technique could potentially be extended to treat the more common cor triatriatum sinister.
Abstract:
Cor triatriatum dexter is a rare congenital anomaly in which an obstructive membrane is located in the right atrium. The detection usually occurs after the sequelae of systemic congestion, coagulopathy, and hepatic dysfunction have set in, leading up to a high surgical risk. A percutaneous balloon correction of cor triatriatum dexter in a patient with advanced right-sided congestive symptoms and hepatic dysfunction is presented. This efficacious method is an alternative to surgical correction and could be extended to the more common cor triatriatum sinistra.