Cor Triatriatum Dexter and Atrial Septal Defect in a 43-Year-Old Woman |
| |
Authors: | Petar M. Vukovic Dragana Kosevic Miroslav Milicic Ljiljana Jovovic Ivan Stojanovic Slobodan Micovic |
| |
Affiliation: | Departments of Cardiac Surgery (Drs. Micovic, Milicic, Stojanovic, and Vukovic) and Cardiology (Drs. Jovovic and Kosevic), Dedinje Cardiovascular Institute, 11040 Belgrade, Serbia |
| |
Abstract: | Cor triatriatum dexter is a rare congenital heart anomaly in which a membrane divides the right atrium into 2 chambers. We report the case of a 43-year-old woman who had cor triatriatum dexter and a large atrial septal defect. During attempted percutaneous closure, the balloon disrupted the membrane and revealed that the defect had no inferior rim, precluding secure placement of an Amplatzer Septal Occluder. Surgical treatment subsequently proved to be successful.In patients with an incomplete membrane and a septal defect with well-defined rims, percutaneous treatment can be the first choice. In patients who have cor triatriatum dexter and unfavorable anatomic features or concomitant complex heart anomalies, open-heart surgery remains the gold standard for treatment. |
| |
Keywords: | Abnormalities, multiple cor triatriatum/complications/surgery heart atria/pathology heart defects, congenital/diagnosis heart septal defects, atrial treatment outcome |
|
|