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J Thorac Cardiovasc Surg 2006;132:164-165
© 2006 The American Association for Thoracic Surgery

Brief Communication

Adult congenital heart disease: Cor triatriatum dextrum

Samir Sarikouch, MD a , * , Ute Blanz, MD b , Eugen Sandica, MD b , Philipp Beerbaum, MD a

a Clinic for Congenital Heart Disease and the Institute for Magnetic Resonance Imaging, Heart and Diabetes Center Northrhine-Westfalia, Ruhr-University of Bochum, Bad Oeynhausen, Germany
b Clinic for Thoracic and Cardiovascular Surgery, Heart and Diabetes Center Northrhine-Westfalia, Ruhr-University of Bochum, Bad Oeynhausen, Germany

Received for publication March 4, 2006; accepted for publication March 15, 2006.

* Address for reprints: Samir Sarikouch, MD, Clinic for Congenital Heart Disease and Institute for Magnetic Resonance Imaging, Heart and Diabetes Center Northrhine-Westfalia, Ruhr-University of Bochum, Georgstraße 11, D-32545 Bad Oeynhausen, Germany. (Email: ssarikouch@hdz-nrw.de).

The first 20% of the full text of this article appears below.


Figure 1
Dr Sarikouch


Clinical Summary

A 43-year-old man was repeatedly examined at different institutions because of dyspnea on exertion with New York Heart Association class II-III.

On physical examination, there were no signs of chronic heart failure and no heart murmurs (176 cm, 91 kg, and blood pressure of 140/70 mm Hg). Slight central cyanosis was apparent, together with clubbing of the fingers. The hemoglobin level was 18.2 g/dL, and the transcutaneous oxygen saturation was 92%. Electrocardiography showed no pathology.

Transthoracic echocardiography demonstrated normal-sized ventricles, normal left ventricular ejection, and a mild valvular pulmonary stenosis. Transesophageal echocardiography disclosed an atrial septal defect with bidirectional shunt but no signs of tricuspid regurgitation or stenosis.

Cardiac catheterization ruled out pulmonary hypertension and coronary artery disease. Left-to-right shunt was calculated at a Qp/Qs ratio of 1.27:1. Left atrial oxygen saturation was 93% on room air.

The patient was referred to our institution for surgical closure of his atrial septal . . . [Full Text of this Article]






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