Skip to main content
SpringerLink
Log in

Cor Triatriatum Sinistrum: Surgical Experience in Taiwan

  • Original Articles
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

Purpose

Cor triatriatum sinister, more commonly referred to as cor triatriatum (CT), is characterized by a common pulmonary venous chamber (proximal chamber) separated from the left atrium (distal chamber) by a fibromuscular septum. This report of our experience updates the surgical results of this anomaly in the Asian population.

Methods

Between January 1992 and May 2005, nine patients with cor triatriatum underwent surgical correction at Chang Gung Memorial Hospital. We retrospectively analyzed their cardiac anatomy, clinical data, surgical procedures and follow-up data.

Results

The mean age at surgery was 260 ± 215 days (range, 20–790 days), with the exception of one patient who underwent surgery at 31 years of age. Three patients had a partial anomalous pulmonary venous connection, one had a complete atrioventricular canal defect, and one had another major complex cardiac anomaly. Eight corrective operations and one palliative operation were performed. There was no surgical mortality. The mean follow-up time was 52.1 ± 43.6 months (range, 17–139 months).

Conclusion

Our findings show that surgical correction is efficient and safe for this rare cardiac anomaly.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. E Arciniegas ZQ Farooki M Hakimi (1981) ArticleTitleSurgical treatment of cor triatriatum Ann Thorac Surg 32 571–7 Occurrence Handle7316591 Occurrence Handle1:STN:280:DyaL38%2FptVSrtA%3D%3D Occurrence Handle10.1016/S0003-4975(10)61801-2

    Article  PubMed  CAS  Google Scholar 

  2. RD Brickman L Wilson JR Zuberbuhler (1970) ArticleTitleCor triatriatum: Clinical presentation and operative treatment J Thorac Cardiovasc Surg 60 523–30 Occurrence Handle5511887 Occurrence Handle1:STN:280:DyaE3M3js1GitQ%3D%3D

    PubMed  CAS  Google Scholar 

  3. A Gheissari JR Malm FO Bowman SuffixJr (1992) ArticleTitleCor triatriatum sinistrum: one institution's 28-year experience Pediatr Cardiol 13 85–8 Occurrence Handle1614924 Occurrence Handle10.1007/BF00798210 Occurrence Handle1:STN:280:DyaK38zhtFSlsw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  4. J Oglietti DA Cooley JP Izquierdo (1983) ArticleTitleCor triatriatum: operative results in 25 patients Ann Thorac Surg 35 415–20 Occurrence Handle6188419 Occurrence Handle1:STN:280:DyaL3s7nslWqtQ%3D%3D Occurrence Handle10.1016/S0003-4975(10)61594-9

    Article  PubMed  CAS  Google Scholar 

  5. JV Richardson DB Doty RD Siewers (1981) ArticleTitleCor triatriatum (subdivided left atrium) J Thorac Cardiovasc Surg 81 232–8 Occurrence Handle7453233 Occurrence Handle1:STN:280:DyaL3M%2FpslGmtg%3D%3D

    PubMed  CAS  Google Scholar 

  6. MD Rodefeld JW Brown DA Heimansohn (1990) ArticleTitleCor triatriatum: clinical presentation and surgical results in 12 patients Ann Thorac Surg 50 562–8 Occurrence Handle2222044 Occurrence Handle1:STN:280:DyaK3M%2FisVeksA%3D%3D Occurrence Handle10.1016/0003-4975(90)90190-H

    Article  PubMed  CAS  Google Scholar 

  7. M Rorie GY Xie H Miles MD Smith (2000) ArticleTitleDiagnosis and surgical correction of cor triatriatum in an adult: combined use of transesophageal echocardiography and catheterization Catheter Cardiovasc Interv 51 83–6 Occurrence Handle10973026 Occurrence Handle10.1002/1522-726X(200009)51:1<83::AID-CCD19>3.0.CO;2-7 Occurrence Handle1:STN:280:DC%2BD3cvntFWmtQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  8. G Salomone R Tiraboschi T Bianchi (1991) ArticleTitleCor triatriatum: Clinical presentation and operative results J Thorac Cardiovasc Surg 101 1088–92 Occurrence Handle2038203 Occurrence Handle1:STN:280:DyaK3M3ksFyitg%3D%3D

    PubMed  CAS  Google Scholar 

  9. JA van Son GK Danielson HV Schaff (1993) ArticleTitleCor triatriatum: diagnosis, operative approach, and late results Mayo Clin Proc 68 854–9 Occurrence Handle8371603 Occurrence Handle1:STN:280:DyaK3szot1Wnsg%3D%3D

    PubMed  CAS  Google Scholar 

  10. M Nagatsu (1992) ArticleTitleClinical classification and surgical treatment of cor triatriatum. (in Japanese) Nippon Kyobu Geka Gakkai Zasshi 40 473–84 Occurrence Handle1613272 Occurrence Handle1:STN:280:DyaK38zgvVGqsw%3D%3D

    PubMed  CAS  Google Scholar 

  11. F Gharagozloo BH Bulkley GM Hutchins (1977) ArticleTitleA proposed pathogenesis of cor triatriatum: impingement of the left superior vena cava on the developing left atrium Am Heart J 94 618–26 Occurrence Handle910700 Occurrence Handle10.1016/S0002-8703(77)80132-4 Occurrence Handle1:STN:280:DyaE1c%2Fhslansg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  12. G Niwayama (1960) ArticleTitleCor triatriatum Am Heart J 59 291–317 Occurrence Handle14427395 Occurrence Handle10.1016/0002-8703(60)90287-8 Occurrence Handle1:STN:280:DyaF3c7otVSquw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  13. R Van Praagh I Corsini (1969) ArticleTitleCor triatriatum: pathologic anatomy and a consideration of morphogenesis based on 13 postmortem cases and a study of normal development of the pulmonary vein and atrial septum in 83 human embryos Am Heart J 78 379–405 Occurrence Handle5805986 Occurrence Handle10.1016/0002-8703(69)90046-5 Occurrence Handle1:STN:280:DyaF1M3nslSqtA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  14. Q Chen S Guhathakurta G Vadalapali (1999) ArticleTitleCor triatriatum in adults: three new cases and a brief review Tex Heart Inst J 26 206–10 Occurrence Handle10524744 Occurrence Handle1:STN:280:DyaK1Mvlt1ektw%3D%3D

    PubMed  CAS  Google Scholar 

  15. JW Jeong C Tei H Toda (1997) ArticleTitleA case of cor triatriatum in an eighty-year-old man: transesophageal echocardiographic observation of multiple defects J Am Soc Echocardiogr 10 185–8 Occurrence Handle9083975 Occurrence Handle10.1016/S0894-7317(97)70092-0 Occurrence Handle1:STN:280:DyaK2s3jslCqtQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  16. PJ Mathew R Subramaniam RS Rawat (2004) ArticleTitleA case of cor triatriatum with pregnancy: an anaesthetic challenge J Postgrad Med 50 79–80 Occurrence Handle15048009 Occurrence Handle1:STN:280:DC%2BD2c7lsVyntg%3D%3D

    PubMed  CAS  Google Scholar 

  17. W Tantibhedhyangkul I Godoy R Karp (1998) ArticleTitleCor triatriatum in a 70-year-old woman: role of transesophageal echocardiography and dynamic three-dimensional echocardiography in diagnostic assessment J Am Soc Echocardiogr 11 837–40 Occurrence Handle9719098 Occurrence Handle10.1016/S0894-7317(98)70061-6 Occurrence Handle1:STN:280:DyaK1czotlGrsg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  18. EA Bacha JP Starr (2003) ArticleTitleOne-stage repair of complete atrioventricular canal, double-outlet right ventricle, left superior vena cava, cor triatriatum and pulmonary stenosis Ann Thorac Surg 75 323 Occurrence Handle12537251 Occurrence Handle10.1016/S0003-4975(02)04330-8

    Article  PubMed  Google Scholar 

  19. AK Goel A Saxena SS Kothari (1998) ArticleTitleAtrioventricular septal defect with cor triatriatum: case report and review of the literature Pediatr Cardiol 19 243–5 Occurrence Handle9568222 Occurrence Handle10.1007/s002469900294 Occurrence Handle1:STN:280:DyaK1c3ivFKnsQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  20. TJ Starc FZ Bierman FO Bowman SuffixJr (1987) ArticleTitlePulmonary venous obstruction and atrioventricular canal anomalies: role of cor triatriatum and double outlet right atrium J Am Coll Cardiol 9 830–33 Occurrence Handle3558982 Occurrence Handle1:STN:280:DyaL2s7mslWmtw%3D%3D Occurrence Handle10.1016/S0735-1097(87)80239-5

    Article  PubMed  CAS  Google Scholar 

  21. CI Tchervenkov SJ Korkola MJ Beland (2002) ArticleTitleSingle-stage anatomical repair of complete atrioventricular canal, double-outlet right ventricle, and cor triatriatum using ventricular septal defect translocation Ann Thorac Surg 73 1317–20 Occurrence Handle11996287 Occurrence Handle10.1016/S0003-4975(01)03187-3

    Article  PubMed  Google Scholar 

  22. PK Varma G Warrier P Ramachandran (2004) ArticleTitlePartial atrioventricular canal defect with cor triatriatum sinister: report of three cases J Thorac Cardiovasc Surg 127 572–3 Occurrence Handle14762371 Occurrence Handle10.1016/S0022-5223(03)01029-8

    Article  PubMed  Google Scholar 

  23. G Baweja NC Nanda JK Kirklin (2004) ArticleTitleDefinitive diagnosis of cor triatriatum with common atrium by three-dimensional transesophageal echocardiography in an adult Echocardiography 21 303–6 Occurrence Handle15053799 Occurrence Handle10.1111/j.0742-2822.2004.03095.x

    Article  PubMed  Google Scholar 

  24. R Hoffmann H Lambertz FA Flachskampf (1992) ArticleTitleTransoes-ophageal echocardiography in the diagnosis of cor triatriatum: incremental value of colour Doppler Eur Heart J 13 418–20 Occurrence Handle1597232 Occurrence Handle1:STN:280:DyaK383otlehug%3D%3D

    PubMed  CAS  Google Scholar 

  25. CW Hogue SuffixJr B Barzilai R Forstot (1992) ArticleTitleIntraoperative echocardiographic diagnosis of previously unrecognized cor triatriatum Ann Thorac Surg 54 562–3 Occurrence Handle1510528 Occurrence Handle10.1016/0003-4975(92)90457-F

    Article  PubMed  Google Scholar 

  26. E Di Cesare L Marsili P Di Renzi (1991) ArticleTitleMagnetic resonance in the diagnosis of cor triatriatum. A case report Radiol Med (Torino) 82 863–6 Occurrence Handle1:STN:280:DyaK387lvFClsQ%3D%3D

    CAS  Google Scholar 

  27. T Ibrahim K Schreiber K Dennig (2003) ArticleTitleImages in cardiovascular medicine. Assessment of cor triatriatum sinistrum by magnetic resonance imaging Circulation 108 e107 Occurrence Handle14557346 Occurrence Handle10.1161/01.CIR.0000092024.43305.14

    Article  PubMed  Google Scholar 

  28. I Sakamoto N Matsunaga K Hayashi (1994) ArticleTitleCine-magnetic resonance imaging of cor triatriatum Chest 106 1586–9 Occurrence Handle7956425 Occurrence Handle1:STN:280:DyaK2M%2FksVCqtA%3D%3D

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, Linko, Kaohsiung and Chia-Yi Center, Chang Gung University of Medicine, 5 Fu-Hsing Street, Kweishan, Taoyuan, 333, Taiwan

    Yao-Kuang Huang, Jaw-Ji Chu, Jen-Ping Chang, Ming-Shian Lu, Chi-Nan Tseng, Yu-Sheng Chang, Feng-Chun Tsai & Pyng Jing Lin

Authors
  1. Yao-Kuang Huang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jaw-Ji Chu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jen-Ping Chang
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ming-Shian Lu
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Chi-Nan Tseng
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Yu-Sheng Chang
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Feng-Chun Tsai
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Pyng Jing Lin
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Huang, YK., Chu, JJ., Chang, JP. et al. Cor Triatriatum Sinistrum: Surgical Experience in Taiwan. Surg Today 37, 449–454 (2007). https://doi.org/10.1007/s00595-006-3341-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00595-006-3341-3

Key words

Search

Navigation