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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
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Anesthesia and cor triatriatum

Federica Scavonetto, Tze Yeng Yeoh, Tasha L Welch

  • 1Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota, USA.

Annals of Cardiac Anaesthesia
|April 16, 2014
PubMed

Insights

Patients with asymptomatic cor triatriatum (CT), a rare congenital heart anomaly, generally tolerate anesthesia and surgery well. This review found no perioperative complications directly linked to CT anatomy in adult patients.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Anesthesiology

Background:

  • Cor triatriatum sinistrum (CTS) and cor triatriatum dextrum (CTD) are rare congenital heart anomalies.
  • These conditions involve a perforated septum dividing an atrium into two chambers.
  • This review focuses on the perioperative management of patients with uncorrected CT.

Purpose of the Study:

  • To review the perioperative course of patients with uncorrected cor triatriatum (CT) undergoing procedures requiring anesthesia.
  • To examine the existing literature on the perioperative experience of patients with CT.

Main Methods:

  • A computerized search identified adult patients with uncorrected CTD and CTS undergoing surgical procedures.
  • Descriptive statistics were utilized to analyze the data.

Main Results:

  • Twelve adult patients with asymptomatic CTS (n=7) and CTD (n=5) were identified.
  • These patients underwent a total of 23 anesthetics.
  • No perioperative complications were directly attributed to the anomalous CT anatomy.

Conclusions:

  • Asymptomatic patients with cor triatriatum typically tolerate anesthesia and surgical procedures well.
  • The findings suggest a favorable perioperative outcome for these patients.
Abstract

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