1,185 results match your criteria: "Cor Triatriatum"

Article Synopsis
  • Cor Triatriatum Dexter (CTD) is a rare heart defect that splits the right atrium into two chambers, with a milder version called incomplete CTD (CTDi) that only partially divides it.
  • CTDi can be linked to interatrial septal defects and often presents in adults who experience cryptogenic strokes, usually leading to referrals for closure of a patent foramen ovale (PFO).
  • Successful PFO closure in patients with CTDi can be challenging due to complications in visualization and device deployment, making advanced imaging techniques and careful planning essential for positive outcomes.
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Remnants of right venous valve in utero and early postnatal life. Case report and literature review.

Eur J Obstet Gynecol Reprod Biol

December 2024

Department of Obstetrics and Gynecology, Del Ponte Hospital, Varese, Italy; Department of Medicine and Surgery, University of Insubria, Varese, Italy.

During fetal life the right valve of the sinus venosus directs oxygenated blood from the inferior vena cava to the left atrium through the foramen ovale, until the regression of the right valve which usually occurs within the 15th week of pregnancy. Incomplete regression of the right venous valve in varying degrees can lead to different types of remnants such as the Eustachian valve, the Chiari Network and Cor Triatriatum Dexter. Prenatal diagnosis of remnants of right venous valve has only rarely been reported in the literature.

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Article Synopsis
  • Cor triatriatum sinister (CTS) is a rare congenital heart condition where the left atrium is divided by an abnormal septum, resembling three atria.
  • While many children with CTS undergo surgery, some remain asymptomatic until adulthood, complicating treatment options.
  • The case study focuses on an elderly woman who chose conservative treatment for heart failure caused by mitral valve issues and atrial fibrillation, emphasizing the need for precise diagnostics and personalized care in older patients with CTS.
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Article Synopsis
  • Cor triatriatum sinister (CTS) is a rare heart condition where the left atrium is divided into two parts, which can sometimes cause a heart problem called atrial fibrillation (AF).
  • An 80-year-old man diagnosed with AF was found to have CTS after tests showed his left atrium was enlarged and divided by a membrane.
  • The doctors successfully performed a procedure to treat the AF by isolating the pulmonary veins, and the patient felt better afterward and had no complications during his recovery.
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Article Synopsis
  • A 17-week-old cat with congestive heart failure due to a condition called cor triatriatum sinister was treated but remained symptomatic despite aggressive management with diuretics.
  • The cat underwent a complex procedure using balloon dilatation to alleviate the blockage, which initially improved its condition without major complications.
  • However, after nine weeks, the cat experienced a return of heart failure symptoms due to a re-narrowing of the membrane, highlighting the need for further study on the long-term outcomes of this treatment in small animals.
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Article Synopsis
  • A case is presented of a newborn with respiratory distress diagnosed with cor triatriatum sinister and a levoatriocardinal vein, which is uncommon in such conditions.
  • The cor triatriatum condition caused significant flow limitations due to a membrane that separated the left atrial chambers, resulting in severe pulmonary hypertension and right ventricular dilation.
  • The patient underwent successful surgery to remove the obstructive membrane and ligate the levoatriocardinal vein, leading to improved heart function and pulmonary pressures a month later.
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Article Synopsis
  • Cor triatriatum sinister (CTS) is a rare congenital heart defect that can sometimes show symptoms in adults due to changes in heart function or conditions like atrial fibrillation, with an incidence of 0.1 to 0.4%.
  • A case study describes a 10-year-old girl who was found to have a diastolic murmur during a routine examination, leading to further evaluation; however, the defect was not significant enough to warrant surgery.
  • The condition likely arises from developmental issues with the pulmonary veins and involves a fibromuscular membrane that divides the left atrium into two parts, emphasizing the need for early identification and cardiology referral in suspected cases.
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Article Synopsis
  • Cor triatriatum dexter (CTD) is a rare heart condition affecting less than 0.4% of the population, characterized by an unusual division in the right atrium due to an embryonic valve.
  • A case study detailed a 7-day-old newborn who experienced cyanosis when feeding or crying; CTD was diagnosed through echocardiography and confirmed with cardiac MRI.
  • The newborn underwent successful surgery at 14 days old, showcasing the importance of early diagnosis and intervention to prevent complications and improve outcomes.
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Article Synopsis
  • - The case involves an 84-year-old woman who experienced flecainide toxicity after being treated for paroxysmal atrial fibrillation, indicated by elevated serum concentration levels and a change in heart rhythm upon hospital admission.
  • - After discontinuation of flecainide, her dangerous heart rhythm improved, highlighting the drug's excessive effects based on the calculated half-life.
  • - The measured half-life of flecainide was 56.8 hours, significantly longer than the advertised 11 hours, emphasizing the need for careful therapeutic drug monitoring in patients using antiarrhythmic medications.
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Article Synopsis
  • Alström syndrome (ALMS) is a rare genetic disorder caused by mutations in the ALMS1 gene, characterized by symptoms such as retinal dystrophy, obesity, hearing loss, and type 2 diabetes.
  • A 10-year-old Chinese girl with ALMS was studied, revealing novel genetic variants through advanced sequencing methods, including a frameshift mutation and a large deletion in the ALMS1 gene.
  • The study concluded that these new genetic findings enhance the understanding of ALMS1 mutations and provide valuable clinical insights into the syndrome, especially in patients with unique structural anomalies like cor triatriatum sinister (CTS).
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Percutaneous transcatheter right atrial stent placement for recurrent cor triatriatum dexter following initial surgical excision of right intra-atrial membrane in a dog.

J Vet Cardiol

October 2024

Japan Animal Cardiovascular Care Team, 1-21-15-701, Higashinakajima, Higashiyodogawa-ku, Osaka-shi, Osaka, 533-0033, Japan; Kinki Animal Medical Training Institute & Veterinary Clinic, 3-15-27, Hishie, Higashiosaka-shi, Osaka, 578-0948, Japan; Department of Cardiovascular Surgery, Juntendo University School of Medicine, 3-1-3, Hongou, Bunkyou-ku, Tokyo, 113-8431, Japan.

Article Synopsis
  • A four-year-old spayed female Shiba Inu was diagnosed with cor triatriatum dexter (CTD) after presenting with fluid buildup (ascites) and underwent surgery to correct the condition.
  • Although the initial surgery resolved the issues, the dog experienced a recurrence of CTD and ascites seven months later, leading to the placement of a balloon-expandable stent to improve heart function.
  • The second procedure successfully alleviated ascites, and the dog remained symptom-free for 18 months, highlighting that stent placement can be an effective treatment for recurrent CTD in dogs post-surgery.
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Article Synopsis
  • ! Specialized pediatric cardiology clinics in local hospitals help provide care closer to home, with a focus on a specific clinic in Oman examined in this study. * ! Over four years, the clinic saw 360 patients, mainly referred for heart murmurs, and found that most evaluations were normal, though some congenital heart diseases were detected. * ! The findings suggest that these outreach clinics effectively reassure families, reduce unnecessary travel, and identify patients needing urgent care, indicating potential benefits for other medical subspecialties.
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Article Synopsis
  • * The case report discusses a patient with a CHA2DS2-VASc score of 1, facing a controversial decision about starting anticoagulant therapy due to this condition.
  • * The authors suggest that Cor triatriatum should be viewed as an additional risk factor for anticoagulant therapy, but stress the need for more research and individualized treatment strategies in similar cases.
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Cor Triatriatum Sinister in a Young Adult: An Unusual Cause of Syncope.

Cureus

May 2024

Intensive Care Unit, Instituto de Salud de Chiapas, Tuxtla Gutiérrez, MEX.

Article Synopsis
  • * Although initially suspected of having a pulmonary embolism, further imaging revealed interstitial pneumonia and a serious heart condition known as cor triatriatum sinister.
  • * The patient received conservative treatment in the ICU, avoided mechanical ventilation, and was discharged after showing significant improvement; this emphasizes the need for quick identification of rare heart defects that can worsen rapidly.
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Article Synopsis
  • - Cor triatriatum sinister (CTS) is a rare heart condition often leading to atrial fibrillation, making treatment, particularly catheter ablation, more complicated due to its unique structure.
  • - A 60-year-old male with CTS underwent catheter ablation for persistent atrial fibrillation, with advanced imaging techniques like echocardiography and cardiac CT helping navigate the complex anatomy.
  • - The case highlights the effectiveness of using advanced ablation methods and intracardiac echocardiography to better understand heart structures, suggesting that the CTS membrane might contribute to arrhythmias and needs more research.
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Article Synopsis
  • A 10-month-old male cat with cor triatriatum sinister underwent a successful hybrid surgical procedure that utilized transesophageal echocardiography and fluoroscopy for guidance.
  • The surgery involved accessing the left atrial membrane through a minithoracotomy and performing balloon dilations to reduce the mean transmembrane pressure gradient significantly from 16 mmHg to 2.23 mmHg.
  • Four months post-surgery, the cat continued to show a low pressure gradient and has remained symptom-free for nine months following the procedure.
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