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[Cor triatriatum. Diagnostic and surgical experience]
C Alva Espinosa1, J Mojarro Ríos, D Jiménez Zepeda
1Hospital de Cardiología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social.
Archivos Del Instituto De Cardiologia De Mexico
|July 1, 1996
Summary
This study highlights a high incidence of cor triatriatum, a rare heart condition, diagnosed in young patients. Echocardiography proved useful in diagnosis, with successful surgical outcomes for most patients.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Cor triatriatum is a rare congenital heart anomaly characterized by a variable degree of obstruction to left atrial blood flow.
- A high incidence of cor triatriatum was observed over a short period, prompting further investigation.
Purpose of the Study:
- To report on five cases of cor triatriatum diagnosed within a two-year timeframe.
- To emphasize the diagnostic utility of Echo Doppler color in identifying cor triatriatum.
- To review the existing literature on cor triatriatum.
Main Methods:
- Retrospective review of five pediatric cases diagnosed with cor triatriatum.
- Utilized Echo Doppler color echocardiography for diagnostic confirmation.
- Performed a literature review on cor triatriatum.
Main Results:
- Five cases (4 female, 1 male) with a mean age of 3.6 years were diagnosed.
- Three patients underwent successful surgical correction.
- One patient died from acute pulmonary edema post-cardiac catheterization; another awaits surgery for mild obstruction.
Conclusions:
- Echocardiography, particularly Echo Doppler color, is highly effective for diagnosing cor triatriatum.
- The observed high incidence remains unexplained, warranting further epidemiological research.
- Prompt diagnosis and surgical intervention are crucial for favorable outcomes in pediatric cor triatriatum.