Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Cor triatriatum surgery
Introduction
Overview
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
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]
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
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.
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]