Diagnosis and Surgical Treatment of Congenital Cor Triatrium
计乐群
沈宗林
谭敏
王志伟
1.Department of Cardiovascular Surgery, Shenzhen Sun Yet - sen Cardiovascular Hospital, Shenzhen 518020, P R China2.Department of Cardiovascular Surgery, Shenzhen Sun Yet - sen Cardiovascular Hospital, Shenzhen 518020, P R China3.Department of Cardiovascular Surgery, Shenzhen Sun Yet - sen Cardiovascular Hospital, Shenzhen 518020, P R China4.Department of Cardiovascular Surgery, Shenzhen Sun Yet - sen Cardiovascular Hospital, Shenzhen 518020, P R China
摘要：Objectives To evalu-ate the outcome of diagnosis and surgical treatment forcor triatrium (CTA) in 6 patients seen between 1994and 2002. Methods 6 patients ranging in age from 5months to 25 years were observed. All of them hadother cardiovascular defects, and presented with dysp-nea, palpitations (and low weight growing only in theinfants) . Preopreative two dimensional echocardiogra-phy had demonstrated an abnormal septum in the leftatrium and other coexistent anomalies. In 3 of them themembrane was obstructed between the left atrial ac-cessory chamber and the left atrium. The communica-tion were atrial septal defect (ASD) indirectly; Theclinical findings were due to the pulmonary hypervas-cularity. Only one case had a fenestration in the septumwith a small patent foramen ovale (FO) directly , andthe clinical findings were due to the obstruction to flowthrough the membrane in the left atrium, producingvenocapilar pulmonary hypertension. Two of them hadASD and fenestration on the septum. The other coex-istent cardiovascular anomalies were found: 1 hadpartial atrioventricular septal defect (PASD), persis-tent left superior vena cava ( LSVC ) and unroofedcoronary sinus; 1 had Tetralogy of Fallot. (TF). All thecardiovascular defects were confirmed in the opera-tions. Results All the cases underwent the opera-tions through a right atriotomy for completed excision ofthe membrane between the left atrial accessory chamberand left atrium and correction of other anomalies.Postoperative courses were uneventful. No residualobstruction in the left atrium was found before patientswere discharged from the hospital. All of the patientswere followed up for a mean period of 6.5 years(range 0.5 to 8 years) . The clinical symptoms dis-appeared and the patients remained symptom free.Conclusions Echocardiography is of great value inthe diagnosis of the disease preoperatively. Completeexcision of the abnormal septum and proper correctionof the other coexistent cardiovascular anomalies shouldbe done at the same time.
机标关键词：
分类号：R54(心脏、血管（循环系）疾病)
论文发表日期：2002-07-02
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：4( 88-90,103 )
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