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Ann Thorac Surg 2007;84:716
© 2007 The Society of Thoracic Surgeons

Correspondence

Congenital Nomenclature: A Cause of Confusion During Literature Search

Cornelia Carr, FRCS(CTh), MS

Cardiology and Cardiac Surgery Department, Hamad General Hospital, PO Box 3050, Doha, Qatar

(Email: noahalkh{at}talk21.com).

To the Editor:

I would like to bring to your attention some details concerning the article by Alphonso and colleagues [1]. At the end of the introduction they state "that this represents the largest series of patients diagnosed with cor triatriatum (28 patients)." In fact an article that appeared in 2000 by Alkhulaifi and colleagues [2] was based in a high-volume cardiothoracic center in France, the Hôpital Marie-Lannelongue. In this study they had 52 cases of congenital division of the atrium (49 left and 3 right); therefore having 21 more patients with a left atrial membrane than the Alphonso and colleagues’ [1] series. Also Alphonso and colleagues’ [1] article mentions that "6 patients (21%) ... underwent emergency operation (within 24 hours of admission)." Surgical intervention within 24 hours of admission is classified as urgent and not as emergency surgery.

The use of varied terms to classify the same congenital lesion (ie, the left atrial membrane and cor triatriatum sinistrum) can lead to problems with literature searches and allow other cases or series to be missed.


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  1. Alphonso N, Norgaard MA, Newcomb A, d’Udekem Y, Brizard CP, Cochrane A. Cor triatriatum: presentation, diagnosis and long-term surgical results Ann Thorac Surg 2005;80:1666-1671.[Abstract/Free Full Text]
  2. Alkhulaifi AM, Serraf A, Lacour-Gayet F, Belli E, Planche C. Congenital division of the left atrium: the influence of associated congenital lesions on the timing and mode of presentation Cardiovasc Surg 2000;8:159-163.[Medline]




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