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Cor triatriatum associated with partial anomalous pulmonary venous connection to the coronary sinus: Echocardiographic and angiocardiographic features |
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| Authors: | Dr Robert L Geggel David R Fulton Harvey L Chernoff Richard Cleveland Thomas J Hougen |
| Institution: | (1) Division of Pediatric Cardiology, Department of Pediatrics, Floating Hospital for Infants and Children, New England Medical Center, Boston, Massachusetts, USA;(2) Division of Cardiothoracic Surgery, Department of Surgery, Floating Hospital for Infants and Children, New England Medical Center, Boston, Massachusetts, USA;(3) Department of Pediatrics, Tufts University School of Medicine, Boston, Massachusetts, USA;(4) Department of Surgery, Tufts University School of Medicine, Boston, Massachusetts, USA;(5) Division of Pediatric Cardiology, New England Medical Center, 750 Washington Street, 02111 Boston, MA, USA |
| Abstract: | Summary An infant girl is described who had cor triatriatum and partial anomalous pulmonary venous connection of the left pulmonary veins to the coronary sinus, the first report of this combination of lesions. The infant also had a Dandy-Walker malformation and multiple facial and intrathoracic hemangiomas. The cardiac diagnosis was made by two-dimensional echocardiography. Cardiac catheterization and angiography confirmed the findings and also demonstrated a persistent left superior vena cava draining to the coronary sinus. The infant underwent successful surgical repair. Partial anomalous pulmonary venous connection and left superior vena cava not infrequently are associated with cor triatriatum. Although two-dimensional echocardiography is sensitive for the detection of cor triatriatum, preoperative cardiac catheterization is necessary to identify unequivocally systemic and pulmonary venous connections. |
| Keywords: | Cor triatriatum Partial anomalous pulmonary venous connection Doppler echocardiography Two-dimensional echocardiography Dandy-Walker malformation |
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