Cor triatriatum: diagnosis by MR imaging

Bisset, rd Gs; Kirks,; Strife, J L; Schwartz, D. A.

doi:10.2214/ajr.149.3.567

Cited by 18 publications

(4 citation statements)

References 4 publications

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“…In the surgical series, we found a median age of 21 months, with a range from 1 to 228 months. In case reports and case series, in contrast, the median age was 16 years, with a range from 1 year to 93 years 1–22,29,30,32,33,92–193 . In the analysis from Copenhagen, 171 individuals were identified as having been diagnosed in adulthood 145 .…”

Section: Resultsmentioning

confidence: 99%

“…On this basis, it proved possible to make an individualized review of 193 investigations 1–193 . These findings were then incorporated, as far as possible, with the results of a systematic review of ...…”

Section: Methodsmentioning

confidence: 99%

“…7,100,103,[105][106][107][109][110][111][112][113][114][115][116] The addition of cardiac computed tomography, or magnetic resonance imaging, serves to enhance recognition of the anatomical details (Figures 6A-C and 7A-C). [93][94][95][96][97][117][118][119][120]192 Cardiac catheterization with selective pulmonary angiography may still be indicated in doubtful cases and can be used to assess pulmonary vascular hemodynamic. Elevated pulmonary arterial and pulmonary capillary wedge pressures in presence of normal left ventricular end-diastolic pressures are indicative of left ventricular inflow obstruction.…”

Section: Diagnosismentioning

confidence: 99%

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Surgical management of divided atrial chambers

Sankhyan

Anderson

Chowdhury

et al. 2021

Journal of Cardiac Surgery

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Background and Aim The morphological variations when one, or both, of the atrial chambers is subdivided, are many and varied. We sought to address clinical presentations, potentially misdiagnosed cases, diagnostic modalities, surgical approaches, and outcomes of this “family” of uncommon lesions. Methods A total of 193 published investigations were synthesized. Diagnostic information was provided by clinical presentation, and multimodality imaging studies. Results Almost three‐quarters of patients with divided atrial chambers present during infancy with severe pulmonary hypertension and cardiac failure. Associated cardiac and extra‐cardiac defects are present in between half and nine‐tenths of cases. Acquired division of the left atrium has been reported after the Fontan operation, orthotopic cardiac transplantation, and complicated aortic valvar infective endocarditis. Surgery under cardiopulmonary bypass remains the definitive treatment. Balloon dilation may be considered in anatomically compatible variants in the setting of cardiac failure and pregnancy as a bridge todefinitive treatment. Overall, mortality has been cited between nil to 29%. Presentation during infancy, associated congenital anomalies, pulmonary hypertension, and surgery in the previous era, have been the reported causes of death. The operative survivors have long‐term favourable outcomes, with near normal cardiac dimensions and low risk of recurrence. While asymptomatic patients with division of the right atrium do not need treatment, surgical resection of the dividing partition under cardiopulmonary bypass is recommended in symptomatic patients with complex anatomy, the spinnaker malformation, or associated cardiac anomalies. Balloon dilation may be considered in uncomplicated patients with less obstructive lesions. Hybrid intervention and endoscopic robotic correction also have been performed. Conclusions Resection of the dividing shelf allows the survivors to regain near normal dimensions with a low risk of recurrence. We submit that an increased appreciation of the anatomic background to division of the atrial chambers will contribute to improved surgical management.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

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Surgical management of divided atrial chambers

Sankhyan

Anderson

Chowdhury

et al. 2021

Journal of Cardiac Surgery

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“…In the past, cor triatriatum has been almost recognized on postmortem examination or surgery, and was often associated with complex congenital cardiac malformations (13). More recently, various techniques identifying the cor triatriatum sinistrum preoperatively have been described, including angiography (7), CT scanning (9), and magnetic resonance imaging (1). Cor triatriatum is now most commonly diagnosed using two-dimensional transthoracic and esophageal echocardiography (7,12).…”

Section: /100mentioning

confidence: 99%

Cor triatriatum dextrum – An Unusual Variant of Triatrial Heart

Topuzović

Karner²,

Rusić³

et al. 1996

Nuklearmedizin

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SummaryThe present report describes a rare case of triatrial heart, cor triatriatum dextrum in a 31-year-old woman in whom the anomaly was incidentally detected by radionuclide angiocardiography. Subsequent assessment with two-dimensional echocardiography and right heart catheterization confirmed the presence of a membrane subdividing the right atrium into two distinct chambers. To the best of our knowledge, this is the only case in which this cardiac anomaly was demonstrated by radionuclide technique.

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Cor Triatriatum Sinister, Pulmonary Vein Stenosis, Atresia of the Common Pulmonary Vein, and Cor Triatriatum Dexter

Delius

Walters

2012

Pediatric Cardiac Surgery

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Cor triatriatum: diagnosis by MR imaging

Cited by 18 publications

References 4 publications

Surgical management of divided atrial chambers

Surgical management of divided atrial chambers

Cor triatriatum dextrum – An Unusual Variant of Triatrial Heart

Cor Triatriatum Sinister, Pulmonary Vein Stenosis, Atresia of the Common Pulmonary Vein, and Cor Triatriatum Dexter

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