Cor triatriatum natural history: Difference between revisions
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{{Cor triatriatum}} | {{Cor triatriatum}} | ||
{{CMG}}; '''Associate Editors-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto: | {{CMG}}; '''Associate Editors-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh13579@gmail.com]; {{CZ}}; [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu]; '''Assistant Editor(s)-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu] | ||
==Overview== | ==Overview== | ||
Cor triatriatum is a rare and often devastating condition to untreated infants. Prognosis is largely dependent on the administration of effective surgical intervention in a timely manner, the nature of the obstruction between the atrial chambers, and the presence or absence of associated defects/anomalies. | Cor triatriatum is a rare and often devastating condition to untreated infants. However, patient as much as 72 years old have been found to have the condition in routine pre-procedural transesophageal echocardiography<ref> {{cite journal |author=Bhatia NL, Humphries J, Chandrasekaran K, Srivathsan K |title=Atrial fibrillation ablation in cor triatriatum: value of intracardiac echocardiography |journal=J Interv Card Electrophysiol |volume=28 |issue=2 |pages=153–5 |year=2010 |month=August |pmid=19937097 |doi=10.1007/s10840-009-9448-x |url=}} </ref>. Prognosis is largely dependent on the administration of effective surgical intervention in a timely manner, the nature of the obstruction between the atrial chambers, and the presence or absence of associated defects/anomalies. | ||
==Complications & Prognosis== | ==Complications & Prognosis== | ||
=Complications= | ===Complications=== | ||
*[[Low Cardiac Output]] | *[[Low Cardiac Output]] | ||
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*[[Right Ventricular Failure]] | *[[Right Ventricular Failure]] | ||
=Prognosis= | ===Prognosis=== | ||
Cor triatriatum is usually fatal within the first two years of life. The prognosis is related to timely surgical intervention, the degree of obstruction between the two left atria, and the presence or absence of associated anomalies. The majority of postoperative deaths occur in the first 30 days. | Cor triatriatum is usually fatal within the first two years of life. The prognosis is related to timely surgical intervention, the degree of obstruction between the two left atria, and the presence or absence of associated anomalies. The majority of postoperative deaths occur in the first 30 days. | ||
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==References== | ==References== | ||
{{reflist}} | {{reflist|2}} | ||
[[Category:Congenital heart disease]] | [[Category:Congenital heart disease]] |
Latest revision as of 13:45, 2 November 2012
Cor triatriatum Microchapters |
Diagnosis |
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Treatment |
Cor triatriatum natural history On the Web |
American Roentgen Ray Society Images of Cor triatriatum natural history |
Risk calculators and risk factors for Cor triatriatum natural history |
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
Cor triatriatum is a rare and often devastating condition to untreated infants. However, patient as much as 72 years old have been found to have the condition in routine pre-procedural transesophageal echocardiography[1]. Prognosis is largely dependent on the administration of effective surgical intervention in a timely manner, the nature of the obstruction between the atrial chambers, and the presence or absence of associated defects/anomalies.
Complications & Prognosis
Complications
- Low Cardiac Output
- Hypoxemia
- Atrial Fibrillation
- Pulmonary Venous Hypertension
- Right Ventricular Failure
Prognosis
Cor triatriatum is usually fatal within the first two years of life. The prognosis is related to timely surgical intervention, the degree of obstruction between the two left atria, and the presence or absence of associated anomalies. The majority of postoperative deaths occur in the first 30 days.
Long-term results are excellent, with survival of more than 80% in patients surviving surgery.
Survivors have excellent functional results without residual sequelae and a life expectancy that approaches the general population.