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[Cor triatriatum in adulthood].

G Schymik1, W Schulz, W Saggau

  • 1II. Medizinische Klinik, Abteilung für Herzchirurgie, Heidelberg.

Deutsche Medizinische Wochenschrift (1946)
|January 6, 1989
PubMed
Summary
This summary is machine-generated.

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Cor triatriatum, a rare heart anomaly, was diagnosed in two adults. Surgical removal of the dividing membrane in one patient significantly improved their condition, showcasing effective treatment for this condition.

Area of Science:

  • Cardiology
  • Medical Diagnostics

Background:

  • Cor triatriatum is a rare congenital heart anomaly characterized by an intra-atrial membrane dividing the left atrium.
  • Early and accurate diagnosis is crucial for effective management and patient outcomes.

Observation:

  • Two adult cases of Cor triatriatum are presented, diagnosed via echocardiography (transthoracic and transesophageal).
  • Diagnostic imaging, including Color Doppler, delineated membrane openings and assessed hemodynamic significance.
  • Case 2 demonstrated a hemodynamically insignificant anomaly due to a large membrane opening (2.1 cm).

Findings:

  • Transthoracic 2-D echocardiography provided definitive diagnosis in Case 1.
  • Transesophageal echocardiography was essential for diagnosis in Case 2.
  • Right-heart catheterization in Case 1 revealed abnormal hemodynamics, indicating surgical intervention.

Related Experiment Videos

  • Successful surgical excision of the intra-atrial membrane was performed in Case 1.
  • Implications:

    • Echocardiography is a key diagnostic tool for Cor triatriatum in adults.
    • Surgical intervention can effectively treat symptomatic Cor triatriatum, leading to significant patient improvement.
    • Understanding the hemodynamic impact is vital for determining the need for surgical correction.