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Cor triatriatum dexter and atrial septal defect in a 43-year-old woman.
Tex Heart Inst J 2014; 41(4):418-20TH

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.

Authors+Show Affiliations

Departments of Cardiac Surgery (Drs. Micovic, Milicic, Stojanovic, and Vukovic) and Cardiology (Drs. Jovovic and Kosevic), Dedinje Cardiovascular Institute, 11040 Belgrade, Serbia.Departments of Cardiac Surgery (Drs. Micovic, Milicic, Stojanovic, and Vukovic) and Cardiology (Drs. Jovovic and Kosevic), Dedinje Cardiovascular Institute, 11040 Belgrade, Serbia.Departments of Cardiac Surgery (Drs. Micovic, Milicic, Stojanovic, and Vukovic) and Cardiology (Drs. Jovovic and Kosevic), Dedinje Cardiovascular Institute, 11040 Belgrade, Serbia.Departments of Cardiac Surgery (Drs. Micovic, Milicic, Stojanovic, and Vukovic) and Cardiology (Drs. Jovovic and Kosevic), Dedinje Cardiovascular Institute, 11040 Belgrade, Serbia.Departments of Cardiac Surgery (Drs. Micovic, Milicic, Stojanovic, and Vukovic) and Cardiology (Drs. Jovovic and Kosevic), Dedinje Cardiovascular Institute, 11040 Belgrade, Serbia.Departments of Cardiac Surgery (Drs. Micovic, Milicic, Stojanovic, and Vukovic) and Cardiology (Drs. Jovovic and Kosevic), Dedinje Cardiovascular Institute, 11040 Belgrade, Serbia.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

25120397

Citation

Vukovic, Petar M., et al. "Cor Triatriatum Dexter and Atrial Septal Defect in a 43-year-old Woman." Texas Heart Institute Journal, vol. 41, no. 4, 2014, pp. 418-20.
Vukovic PM, Kosevic D, Milicic M, et al. Cor triatriatum dexter and atrial septal defect in a 43-year-old woman. Tex Heart Inst J. 2014;41(4):418-20.
Vukovic, P. M., Kosevic, D., Milicic, M., Jovovic, L., Stojanovic, I., & Micovic, S. (2014). Cor triatriatum dexter and atrial septal defect in a 43-year-old woman. Texas Heart Institute Journal, 41(4), pp. 418-20. doi:10.14503/THIJ-13-3366.
Vukovic PM, et al. Cor Triatriatum Dexter and Atrial Septal Defect in a 43-year-old Woman. Tex Heart Inst J. 2014;41(4):418-20. PubMed PMID: 25120397.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cor triatriatum dexter and atrial septal defect in a 43-year-old woman. AU - Vukovic,Petar M, AU - Kosevic,Dragana, AU - Milicic,Miroslav, AU - Jovovic,Ljiljana, AU - Stojanovic,Ivan, AU - Micovic,Slobodan, Y1 - 2014/08/01/ PY - 2014/8/15/entrez PY - 2014/8/15/pubmed PY - 2015/4/23/medline KW - Abnormalities, multiple KW - cor triatriatum/complications/surgery KW - heart atria/pathology KW - heart defects, congenital/diagnosis KW - heart septal defects, atrial KW - treatment outcome SP - 418 EP - 20 JF - Texas Heart Institute journal JO - Tex Heart Inst J VL - 41 IS - 4 N2 - 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. SN - 1526-6702 UR - https://www.unboundmedicine.com/medline/citation/25120397/Cor_triatriatum_dexter_and_atrial_septal_defect_in_a_43_year_old_woman_ L2 - http://thij.org/doi/10.14503/THIJ-13-3366?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -