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The Journal of Thoracic and Cardiovascular Surgery, Vol 72, 644-651, Copyright © 1976 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Cor triatriatum: masked by complex congenital cardiac anomalies

DB Nudel, MJ Kelley, WE Hellenbrand, P Barash, HC Stansel Jr and MA Berman

The radiographic, angiographic, hemodynamic, and surgical features of 2 cases of cor triatriatum complicated by other cardiac anomalies are presented. In the first case, the patient had tetralogy of Fallot, the scimitar syndrome, and left ventricular obstruction. In the second case the patient had truncus arteriosus. The first case was revealed only after augmentation of pulmonary flow by an aorta-pulmonary artery anastomosis. In the second case, the diagnosis was retrospectively suggested by certain angiographic and hemodynamic clues. The prospective diagnosis was made only after a modified Rastelli procedure for truncus arteriosus. The difficulties encountered in making the diagnosis in both cases are discussed. It is stressed that a high index of suspicion, thorough accumulation and examination of hemodynamic data, and excellent angiograms and plain film radiography are all necessary to an early diagnosis of cor triatriatum when the latter is complicated by other congenital heart anomalies.


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N. Alphonso, M. A. Norgaard, A. Newcomb, Y. d'Udekem, C. P. Brizard, and A. Cochrane
Cor Triatriatum: Presentation, Diagnosis and Long-Term Surgical Results
Ann. Thorac. Surg., November 1, 2005; 80(5): 1666 - 1671.
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