Cor triatriatum surgery
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Cafer Zorkun, M.D., Ph.D. [3]; Keri Shafer, M.D. [4]; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S. [5]
Overview
In cor triatriatum, adminstration of effective surgical therapy in a timely manner can greatly impact the patient’s prognosis. Considerations must made to evaluate to utilize the most appropriate surgical approach, right atrial or left atrial.
Surgical Therapy
- The role of percutaneous balloon dilation in managing this condition remains to be determined.
- It can be treated surgically by removing the membrane dividing the atrium.
Left atrial approach
- Better if the patient is older, and defect is larger
- Excise the obstructing diaphragm
- Enlarge the left atrium as needed and close the interatrial connection
Right atrial approach
Better if the patient is younger, and defect is smaller
2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines[1]
Therapeutic Recommendations for Cor Triatriatum
| Class I |
| 1. In patients presenting with acute chest pain and suspected ACS, clinical decision pathways (CDPs) should categorize patients into low-, intermediate-, and high-risk strata to facilitate disposition and subsequent diagnostic evaluation.(Level of Evidence: B-NR) |
References
- ↑ Stout KK, Daniels CJ, Aboulhosn JA, Bozkurt B, Broberg CS, Colman JM; et al. (2019). “2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines”. J Am Coll Cardiol. 73 (12): 1494–1563. doi:10.1016/j.jacc.2018.08.1028. PMID 30121240.
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