Anesthetic Management of 70 Year Old Woman with Cor triatriatum Sinister
Keywords:Cor triatriatum, general anesthesia, mitral stenosis, anesthetic management
A 70 year old woman with no specific underlying disease was referred to the department of surgery of our hospital to have low anterior resection surgery for rectal cancer. Preoperative transthoracic echocardiography (TTE) revealed perforated fibromuscular septum which divides the left atrium into two chambers. Patients with Cor Triatriatum (CT) can show a clinical feature of mitral stenosis (MS) or tricuspid stenosis (TS) according to the degree of intra atrial membrane fenestration. Therefore careful anesthetic management is needed when we deal with this patients who undergo general anesthesia. Our patient was tolerable throughout the general anesthesia with propofol, volatile agent and opioid. The surgery was done without any hemodynamic event. And there was no postoperative complications.
Wolf WJ. Diagnostic features and pitfalls in the two-dimensional echocardiographic evaluation of a child with cor triatriatum. Pediatr Cardiol. 1986;6(4):211-3.
Nassar PN1, Hamdan RH. Cor Triatriatum Sinistrum: Classification and Imaging Modalities. Eur J Cardiovasc Med. 2011 Jan;1(3):84-7.
Yarrabolu TR1, Simpson L, Virani SS, Arora H, Navarijo J, Stainback RF. Cor triatriatum dexter. Tex Heart Inst J. 2007;34(3):383-5.
Abbasi K1, Sadeghian H, Ghafari-Marandi N, Sadeghian A. Cor triatriatum: preoperative diagnosis and successful surgical correction in a four-year-old girl. J Tehran Heart Cent. 2010 Summer;5(3):153-5. Epub 2010 Aug 31.
Scavonetto F, Yeoh TY, Welch TL, Weingarten TN, Sprung J1. Anesthesia and cor triatriatum. Ann Card Anaesth. 2014 Apr-Jun;17(2):111-6.
LAM CR, GREEN E, DRAKE E. Diagnosis and surgical correction of 2 types of triatrial heart. Surgery. 1962 Jan;51:127-37.
Das SN1, Kiran U, Bhan A, Sahu T. Perioperative management of cor triatriatum with congenitally corrected transposition of great arteries. Ann Card Anaesth. 2006 Jan;9(1):49-52.
Ikegaki J1, Kimura Y, Mikawa K, Obara H, Oka Y. Cor triatriatum in an adult patient: implications of intraoperative TEE for anesthetic management. J Cardiothorac Vasc Anesth. 1992 Apr;6(2):215-7.
How to Cite
- Papers must be submitted on the understanding that they have not been published elsewhere (except in the form of an abstract or as part of a published lecture, review, or thesis) and are not currently under consideration by another journal published by any other publisher.
- It is also the authors responsibility to ensure that the articles emanating from a particular source are submitted with the necessary approval.
- The authors warrant that the paper is original and that he/she is the author of the paper, except for material that is clearly identified as to its original source, with permission notices from the copyright owners where required.
- The authors ensure that all the references carefully and they are accurate in the text as well as in the list of references (and vice versa).
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Attribution-NonCommercial 4.0 International that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
- The journal/publisher is not responsible for subsequent uses of the work. It is the author's responsibility to bring an infringement action if so desired by the author.