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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

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[Study of cor triatriatum. Apropos of 6 cases]

M Brigui1, N Jenayeh, F Remadi

  • 1Service de Cardiologie, CHU Sahloul, Sousse, Tunisie.

Annales De Cardiologie Et D'Angeiologie
|December 1, 1993
PubMed

Insights

Triatrial heart, a rare congenital condition, presents with varied symptoms, often masked by associated cardiac lesions. Echocardiography is crucial for diagnosis, proving more effective than cardiac catheterization in identifying this complex heart anomaly.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Medical Imaging

Background:

  • Triatrial heart is a rare congenital cardiac anomaly.
  • Its clinical manifestations are often non-specific and varied.
  • Associated cardiac lesions frequently complicate diagnosis.

Purpose of the Study:

  • To report cases of triatrial heart.
  • To highlight diagnostic challenges.
  • To evaluate the diagnostic utility of echocardiography versus cardiac catheterization.

Main Methods:

  • Retrospective case series.
  • Clinical review of 6 patients with triatrial heart.
  • Echocardiography and cardiac catheterization utilized for diagnosis.

Main Results:

  • Six cases of triatrial heart were identified.
  • Five cases had associated cardiac lesions, including atrial septal defect, left superior vena cava, ventricular septal defect, aortic stenosis, mitral insufficiency, and great vessel transposition.
  • Echocardiography successfully diagnosed all 6 cases.
  • Cardiac catheterization was less effective in diagnosis.

Conclusions:

  • Triatrial heart diagnosis is challenging due to non-specific symptoms and frequent associated lesions.
  • Routine echocardiography is a highly effective diagnostic tool for triatrial heart.
  • Echocardiography surpasses cardiac catheterization in diagnosing triatrial heart.

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