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Cor Triatriatum: A Review

Ajay Kumar Jha1, Neeti Makhija2

  • 11 All India Institute of Medical Sciences, Bhubaneswar, Odissa, India.

Seminars in Cardiothoracic and Vascular Anesthesia
|December 4, 2016
PubMed

Insights

Cor triatriatum is a rare congenital heart defect causing atrial septation and inflow obstruction. Diagnosis and treatment planning for this condition require multimodal imaging, with surgery being the primary intervention.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Cardiac Surgery

Background:

  • Cor triatriatum is a rare congenital cardiac anomaly characterized by abnormal septation within the atrium.
  • This condition can lead to significant inflow obstruction to the ventricles and may present in isolation or with other congenital heart defects.

Purpose of the Study:

  • To review the diagnostic modalities and management strategies for cor triatriatum.
  • To highlight the importance of multimodal imaging in characterizing anatomical variants for treatment planning.

Main Methods:

  • Literature review of cor triatriatum cases.
  • Analysis of diagnostic imaging techniques (e.g., echocardiography, MRI, CT).
  • Review of surgical and interventional treatment outcomes.

Main Results:

  • Cor triatriatum presents with diverse symptomatology, often mimicking valvular stenosis.
  • Multimodal diagnostic approaches are crucial for detailed anatomical characterization.
  • Surgical correction is the definitive treatment, though balloon dilatation may be an option in select cases.

Conclusions:

  • Cor triatriatum requires thorough diagnostic evaluation due to its varied presentations and anatomical complexities.
  • Surgical intervention remains the gold standard for treatment.
  • Percutaneous balloon dilatation offers a potential alternative in specific clinical scenarios.

Keywords:
classificationcor triatriatumdiagnosisechocardiographysymptomatology

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