Diagnosis and evaluation of a patient with cor triatriatum using perioperative transesophageal echocardiography

Takuya Kurazumi, Takeshi Suzuki, Yoshihisa Morita, Junich Masuda

Research output: Contribution to journalArticle

Abstract

Cor triatriatum is a rare congenital cardiac anomaly accounting for only 0.1-0.4% of all congenital heart diseases usually diagnosed in infancy or childhood and rarely found in adults. It is characterized by fibromuscular membrane dividing the left atrium into two chambers. This congenital heart disease is reported to be frequently associated with variety of cardiac anomalies such as an atrial septal defect anomalous pulmonary venous drainage, and persistent left superior vena cava A woman with no cardiac history was admitted to the hospital due to acute heart failure and diagnosed as severe mitral regurgitation and cor triatriatum by preorerative transthoracic echocardiography. Emergency mitral valve plasty was undertaken because of the severity of mitral regurgitation without determining the detailed type of cor triatriatum. Thus, diagnosis of the type of cor triatriatum with perioperative transesophageal echocardiography TEE was required to establish correct cardiopulmonary bypass and determine the operative procedure. Perioperative TEE revealed that the type was Lucas-Schmidt-1 A, and cardiopulmonary bypass was established safely. Operation was performed without any problems. The TEE skill of our anesthesiologists could contribute to the safe management of the cardiac surgery.

Original languageEnglish
Pages (from-to)333-337
Number of pages5
JournalJapanese Journal of Anesthesiology
Volume63
Issue number3
Publication statusPublished - 2014
Externally publishedYes

Fingerprint

Cor Triatriatum
Transesophageal Echocardiography
Mitral Valve Insufficiency
Cardiopulmonary Bypass
Heart Diseases
Superior Vena Cava
Atrial Heart Septal Defects
Operative Surgical Procedures
Heart Atria
Mitral Valve
Thoracic Surgery
Echocardiography
Drainage
Emergencies
Heart Failure
History
Lung
Membranes

Keywords

  • Cardiopulmonary bypass
  • Cor triatriatum
  • Transesophageal echo- Cardiography

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Diagnosis and evaluation of a patient with cor triatriatum using perioperative transesophageal echocardiography. / Kurazumi, Takuya; Suzuki, Takeshi; Morita, Yoshihisa; Masuda, Junich.

In: Japanese Journal of Anesthesiology, Vol. 63, No. 3, 2014, p. 333-337.

Research output: Contribution to journalArticle

Kurazumi, Takuya ; Suzuki, Takeshi ; Morita, Yoshihisa ; Masuda, Junich. / Diagnosis and evaluation of a patient with cor triatriatum using perioperative transesophageal echocardiography. In: Japanese Journal of Anesthesiology. 2014 ; Vol. 63, No. 3. pp. 333-337.
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