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a Department of Cardiothoracic Surgery, Children's Hospital of Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, California
b Department of Pediatric Cardiology, Children's Hospital of Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, California
* Address correspondence to Dr McLean, Department of Cardiothoracic Surgery, University of Southern California, 1520 San Pablo St, Suite 4300, Los Angeles, CA 90033-4612 (Email: mmclean@surgery.usc.edu).
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A 7-month-old child without significant past medical history was presented to her primary care physician with progressive symptoms of tachypnea and failure to thrive. A transthoracic echocardiogram revealed an atrial septal defect measuring 26 mm essentially creating a common atrium. Also observed was an interruption of the inferior vena cava with azygous continuation. Operative intervention was scheduled. Of note, the patient's twin sister underwent repair of an atrioventricular septal defect as an infant.
The intraoperative transesophageal echocardiogram is shown in Figure 1
(* = redundant fenestrated membrane), and the transesophageal echocardiogram apical 4-chamber view is shown in Figure 2
(left atrium [LA], left ventricle [LV
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F. Edwin, B. Gyan, M. Tettey, and E. Aniteye Divided Left Atrium (Cor Triatriatum) in the Setting of Common Atrium Ann. Thorac. Surg., August 1, 2012; 94(2): e49 - e50. [Abstract] [Full Text] [PDF] |
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