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The Annals of Thoracic Surgery, Vol 35, 415-420, Copyright © 1983 by The Society of Thoracic Surgeons
J Oglietti, DA Cooley, JP Izquierdo, R Ventemiglia, I Muasher, GL Hallman and GJ Reul Jr
Twenty-five patients with cor triatriatum underwent surgical correction at
the Texas Heart Institute during a 21-year period from 1959 to 1980.
Patients ranged in age from 4 months to 38 years. Diagnosis was established
preoperatively in 14 patients (56%), at the time of operation for
correction of associated lesions in 10 patients (40%), and during
reoperation in 1 (4%). In the earlier part of this series, diagnosis was
more common at the time of operation. Associated cardiovascular anomalies
were present in 20 patients (80%), major anomalies in 14 others (56%).
Simultaneous correction or palliation of associated lesions and total
excision of the anomalous membrane were done in 18 patients utilizing
temporary cardiopulmonary bypass. Cor triatriatum alone was repaired in 5
patients (20%) with the aid of extracorporeal circulation. Two patients
underwent reoperation: 1 because of incomplete excision of the septum and
the other because the condition had not been diagnosed during a first
operation for correction of total anomalous pulmonary venous return.
Excision of the membrane was accomplished utilizing the left atrium in 10
patients (40%), the right atrium in 12 (48%), or both in 3 (12%). Four
patients (16%) died early after operation; all were infants who had severe
associated cardiac anomalies. Among the 21 surviving patients, results were
excellent in 20.
ARTICLES
Cor triatriatum: operative results in 25 patients
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