Tahernia Ac

Bio: Tahernia Ac is an academic researcher from Stormont Vail Health. The author has contributed to research in topics: Patent foramen ovale & Cor triatriatum. The author has an hindex of 1, co-authored 1 publications receiving 3 citations.

The diagnosis of cor triatriatum sinistrum in children: a continuing dilemma.

Abstract: Cor triatriatum (CT) is a rare congenital cardiac anomaly. The salient clinical, roentgenographic, electrocardiographic, echocardiographic, and hemodynamic findings are presented in two asymptomatic children and one with nonspecific dyspnea on exertion. Two male children had a classical form of cor triatriatum with normal physical and inconsequential roentgenographic and electrocardiographic findings. One of the male patients had surgery for a large atrial septal defect ostium secundum (ASD 2 degrees) and pulmonary hypertension in infancy. The female patient had CT with a communicating accessory chamber to right atrium and a rare patent foramen ovale. Her clinical findings confirmed an atrial level shunt. All patients had excision of the fibromuscular membrane from the right and left atrial transseptal approach with excellent results and with no recurrence during 2 to 4 year follow-up. We report the dilemma encountered in the clinical diagnosis of CT in children and the pivotal role played by echocardiography in the diagnosis of this anomaly.

Asymptomatisches Cor triatriatum bei einer 2¼ Jahre alten Patientin

Abstract: We report on an asymptomatic 2 1/4 year old girl. Echocardiography revealed cor triatriatum with a membrane separating the left atrium. Transesophageal echocardiography demonstrated 3 large perforations of the intraatrial membrane. Using Doppler sonography, no pressure gradients across these orifices were identified. Obstruction of the intraatrial membrane and pulmonary hypertension were excluded by cardiac catheterization. We therefore decided against surgical resection of the membrane and to follow the patient noninvasively by echocardiography. Follow-up over 18 months revealed no development of an obstruction across the intraatrial membrane. Our case shows that immediate surgical correction is not necessary in all patients with cor triatriatum. Conservative management of these patients requires full evaluation of the hemodynamics and careful follow-up examinations by echocardiography.

Cor triatriatum sinister at 34 days old boy

Abstract: Cor triatriatum merupakan kelainan bawaan yang sangat langka. Pada kelainan ini jaringan ikat fibrus akan membagi atrium kanan atau kiri menjadi 2 bagian. Angka kejadian hanya sebesar 0,1% dari seluruh kelainan jantung bawaan dan biasanya ditemukan bersama-sama dengan kelainan jantung lainnya. Perjalanan klinis tergantung dari hubungan antara bilik atas dengan bilik bawah dari atrium yang terbagi. Bila lubang penghubungnya kecil, keluhan mulai muncul sejak lahir dan biasanya meninggal saat masa bayi. Bila penghubungnya besar, keluhan akan muncul pada usia anak atau dewasa dengan gejala klinis menyerupai stenosis mitral. Kami melaporkan kasus pada bayi usia 34 hari yang datang dengan keluhan sesak napas dan kebiruan pada bibir bila menangis. Diagnosis ditegakkan dari klinis, foto dada, dan ekokardiografi. Satu-satunya terapi adalah koreksi melalui pembedahan, tapi kasus meninggal sebelum pembedahan dilakukan. [MEDICINA 2014;45:65-70].