Cor Triatriatumlu Geriatrik Bir Hastanın Cerrahi Tedavisi: Atriyal Fibrilasyon ve İnmenin Nadir Bir Sebebi
Abstract
Konjenital kalp hastalığı olan yenidoğanlarda
cor triatriatum görülme sıklığı %0.1-0.4 olup, erişkinlerde ise görülme
olasılığı çok nadirdir. Altmış sekiz yaşında bir hasta ekokardiyografi ile cor
triatriatum tanısı konmuş olarak kliniğimize başvurdu. Ekokardiyografik
değerlendirme mevcut atriyal fibrilasyon ve meydana gelmiş inme etyolojisini
araştırmak için yapılmış olup, değerlendirme sonucunda sol atriyum içinde
membran olduğu saptanmış. Değerlendirme sonucunda hastaya tip 1 A cor
triatriatum tanısı konmuş. Hasta tarafımızdan opere edilerek mevcut membran
çıkartıldı. Operasyon sonrası hastanın ritmi sinüs seyretti. Cor triatriatum
geriatriklerde çok nadir görülmekte olup, atriyal fibrilasyon ve inmeye neden
olabilmektedir. Bu tip hastalarda tedavi seçeneği cerrahidir.
Keywords
References
- 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;80:1666-71.
- 2. Sen T, Guray Y, Demirkan BM, Alioglu H, Korkmaz S. Cor triatriatum sinister in a 67-year-old man with atrial fibrillation. Tex Heart Inst J 2010;37:246-7.
- 3. Chen Q, Guhathakurta S, Vadalapili G, Nalladaru Z, Easthope RN, Sharma AK. Cor triatriatum in adults: three new cases and a brief review. Tex Heart Inst J 1999;26:106-10.
- 4. Park KJ, Park IK, Sir JJ, Kim HT, Park YI, Tsung PC, et al. Adult cor traitriatum presenting as cardioembolic stroke. Intern Med 2009;48:1149-52.
- 5. van Son JA, Danielson GK, Schaff HV, Puga FJ, Seward JB, Hagler DJ, et al. Cor triatriatum: diagnosis, operative approach, and late results. Mayo Clin Proc 1993;68:854-9.
Surgical Treatment of Cor Triatriatum in a Geriatric Patient: a Rare Reason for Atrial Fibrillation and Stroke
Abstract
The incidence of cor triatriatum among neonates
with congenital heart disease is only 0.1% to 0.4%. The diagnosis in adults is
extremely rare. A 68-year-old patient was referred to our cardiothoracic
surgery department following two-dimensional transthoracic echocardiography and
a diagnosis of cor triatriatum. Echocardiography was performed due to stroke
and atrial fibrillation. Echocardiography revealed a membrane in the left
atrium, with the typical presentation of cor triatriatum type 1A. We operated
the patient and excised the membrane. The operation was completed
conventionally with sinus rhythm. Cor triatriatum in geriatric patients is a
rare congenital cardiac abnormality and can be a reason for atrial fibrillation
and stroke. The treatment of choice is surgery.
References
- 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;80:1666-71.
- 2. Sen T, Guray Y, Demirkan BM, Alioglu H, Korkmaz S. Cor triatriatum sinister in a 67-year-old man with atrial fibrillation. Tex Heart Inst J 2010;37:246-7.
- 3. Chen Q, Guhathakurta S, Vadalapili G, Nalladaru Z, Easthope RN, Sharma AK. Cor triatriatum in adults: three new cases and a brief review. Tex Heart Inst J 1999;26:106-10.
- 4. Park KJ, Park IK, Sir JJ, Kim HT, Park YI, Tsung PC, et al. Adult cor traitriatum presenting as cardioembolic stroke. Intern Med 2009;48:1149-52.
- 5. van Son JA, Danielson GK, Schaff HV, Puga FJ, Seward JB, Hagler DJ, et al. Cor triatriatum: diagnosis, operative approach, and late results. Mayo Clin Proc 1993;68:854-9.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | April 3, 2017 |
| Published in Issue | Year 2017 Volume: 20 Issue: 1 |
