Abstract
A 33-day-old infant with obstructed cor triatriatum sinister and partial anomalous
pulmonary venous drainage presented with respiratory distress and fever. Her suprasystemic
pulmonary hypertension was relieved by opening the connection to the right atrium
using balloon atrial septoplasty and septostomy, and to the inferior chamber using
balloon dilation of a fenestration in the dividing membrane. This enabled extubation
and discharge, with elective surgical repair at 2 months. To our knowledge, this is
the youngest patient to receive a catheter intervention for obstructed cor triatriatum
sinister, providing relief of pulmonary hypertension and postponement of surgical
repair.
Résumé
Un nourrisson de 33 jours ayant un cœur triatrial gauche obstructif et un retour veineux
pulmonaire anormal partiel a présenté une détresse respiratoire et de la fièvre. L’hypertension
pulmonaire suprasystémique qu’elle manifestait a été soulagée par l’ouverture de la
connexion à l’oreillette droite à l’aide d’une atrioseptoplastie et d’une atrioseptostomie
par ballonnet, et à la chambre inférieure à l’aide de la dilatation par ballonnet
d’une fenestration dans la membrane de séparation. Cela a permis l’extubation et la
sortie d’hôpital, ainsi que la correction chirurgicale non urgente à 2 mois. À notre
connaissance, il s’agit de la plus jeune patiente à recevoir une intervention par
cathéter pour un cœur triatrial gauche obstructif, qui a procuré le soulagement de
l’hypertension pulmonaire et a permis le report de la correction chirurgicale.
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References
- Chapter 26: Division of atrial chambers.in: Anderson R.H. Baker E.J. Penny D. Paediatric Cardiology. 3rd Ed. Churchill Livingstone, Philadelphia, PA2010: 547-552
- Cor triatriatum with partial anomalous pulmonary venous return: a rare case of parallel obstruction and successful staged treatment.Pediatr Cardiol. 2012; 33: 363-365
- Percutaneous balloon dilatation of cor triatriatum sinister.Am Heart J. 1996; 132: 888-891
- Unusual case of new-onset heart failure due to cor triatriatum sinister.Eur J Heart Fail. 2013; 15: 237-239
Article info
Publication history
Published online: July 14, 2016
Accepted:
July 7,
2016
Received:
February 11,
2016
Footnotes
See page 1575.e15 for disclosure information.
Identification
Copyright
© 2016 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
