Abstract | BACKGROUND: METHODS: Twenty-five patients underwent surgical correction of cor triatriatum between May 1960 and September 2012. There were 11 males and 14 females with a mean age of 27.4 years (age range, 1 day to 73 years). RESULTS: All patients underwent excision of cor triatriatum membrane using cardiopulmonary bypass. Twenty patients (80%) required concomitant cardiac surgical procedures. There was no early mortality. None of the patients had any residual atrial obstruction. Two infants who had concomitant repair of complex congenital anomalies died at 2 and 5 months postoperatively after discharge from hospital. Kaplan-Meier survival at 10 years was 83%. All patients were in New York Heart Association class I or II at a mean follow-up of 12.8 years (maximum 44 years). CONCLUSIONS: Surgical repair of cor triatriatum provides satisfactory early and long-term survival with low risk for additional intervention. Cor triatriatum with complex congenital anomalies may be associated with adverse outcome.
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Authors | Pankaj Saxena, Harold M Burkhart, Hartzell V Schaff, Richard Daly, Lyle D Joyce, Joseph A Dearani |
Journal | The Annals of thoracic surgery
(Ann Thorac Surg)
Vol. 97
Issue 5
Pg. 1659-63
(May 2014)
ISSN: 1552-6259 [Electronic] Netherlands |
PMID | 24630764
(Publication Type: Evaluation Study, Journal Article)
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Copyright | Copyright © 2014 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved. |
Topics |
- Academic Medical Centers
- Adolescent
- Adult
- Age Factors
- Aged
- Cardiac Catheterization
(methods)
- Cardiac Surgical Procedures
(methods, mortality)
- Cardiopulmonary Bypass
(methods)
- Child
- Child, Preschool
- Cohort Studies
- Cor Triatriatum
(diagnosis, mortality, surgery)
- Echocardiography, Doppler
(methods)
- Female
- Follow-Up Studies
- Humans
- Infant
- Infant, Newborn
- Kaplan-Meier Estimate
- Male
- Middle Aged
- Minnesota
- Postoperative Complications
(mortality, physiopathology)
- Rare Diseases
- Retrospective Studies
- Risk Assessment
- Survival Rate
- Time Factors
- Tomography, X-Ray Computed
- Treatment Outcome
- Young Adult
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