Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-23T00:18:09.777Z Has data issue: false hasContentIssue false

Preoperative diagnosis of co-existing divided left atrium and tetralogy of Fallot

Published online by Cambridge University Press:  21 January 2005

Sheila J. Carroll
Affiliation:
Division of Pediatric Cardiology, Children's Hospital of New York-Presbyterian, Columbia University Medical Center, New York, NY, USA
David Solowiejczyk
Affiliation:
Division of Pediatric Cardiology, Children's Hospital of New York-Presbyterian, Columbia University Medical Center, New York, NY, USA
Welton M. Gersony
Affiliation:
Division of Pediatric Cardiology, Children's Hospital of New York-Presbyterian, Columbia University Medical Center, New York, NY, USA

Abstract

We present the eighth published case of divided left atrium co-existing with tetralogy of Fallot. This is the first report of preoperative echocardiographic diagnosis of this unusual combination of defects. Demonstration of a partition within the left atrium is imperative for successful repair of the combined lesions. We draw attention to the need for careful echocardiography in patients where an obstruction to pulmonary venous drainage would dramatically affect the outcome subsequent to surgical correction.

Type
Brief Report
Copyright
© 2004 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Binotto M, Aiello V, Ebaid M. Coexistence of divided left atrium (cor triatriatum) and tetralogy of Fallot. J Thorac Cardiovasc Surg 1997; 45: 9295.Google Scholar
Danielson G, Feldt R. Successful repair of coexisting cor triatriatum and tetralogy of Fallot. J Thorac Cardiovasc Surg 1972; 63 (Suppl 3): 391393.Google Scholar
Nagao G, Daoud G, McAdams J, Schwartz D, Kaplan S. Cardiovascular anomalies associated with tetralogy of Fallot. Am J Cardiol 1967; 20: 206215.Google Scholar
Nomura K, Kurosawa H, Morita K, Miyamoto J, Tatara A, Hanai M. A surgical case report – rare association of tetralogy of Fallot with cor triatriatum, unroofed coronary sinus and persistent left superior vena cava. J Jpn Assn Thorac Surg 1997; 45: 9295.Google Scholar
Preisz H. Beitrage zur Lehre vonden angenborenen Herzanomalien. Beitr Path Anat 1890; 7: 245.Google Scholar
Van Praagh R, Corsini I. Cor 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 1969; 78, (Suppl 3):379405.Google Scholar
Van Praagh R, Van Praagh S, Nebesar RA, Muster AJ, Sinha SN, Paul MH. Tetralogy of Fallot. underdevelopment of the pulmonary infundibulum and its sequelae. Am J Cardiol 1970; 26: 25.Google Scholar
Gersony W. Obstruction to pulmonary venous return obscured by decreased pulmonary blood flow. Chest 1973; 64: 283.Google Scholar