Anesthetic Management of 70 Year Old Woman with Cor triatriatum Sinister

Authors

  • Yun Ho Yang Kangwon National university hospital
  • Nam Yung Kim Kangwon National university hospital
  • Sejin Kim Kangwon National university hospital
  • Minsoo Kim Kangwon National university hospital
  • Seongsik Kang Kangwon National university hospital

DOI:

https://doi.org/10.24203/ajpnms.v7i2.5769

Keywords:

Cor triatriatum, general anesthesia, mitral stenosis, anesthetic management

Abstract

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.

Author Biographies

Yun Ho Yang, Kangwon National university hospital

Department of Anesthesiology and Pain Medicine, Institute of Medical Sciences, Kangwon National University Hospital, School of Medicine, Chuncheon, South Korea

Nam Yung Kim, Kangwon National university hospital

Department of Anesthesiology and Pain Medicine, Institute of Medical Sciences, Kangwon National University Hospital, School of Medicine, Chuncheon, South Korea

Sejin Kim, Kangwon National university hospital

Department of Anesthesiology and Pain Medicine, Institute of Medical Sciences, Kangwon National University Hospital, School of Medicine, Chuncheon, South Korea

Minsoo Kim, Kangwon National university hospital

Department of Anesthesiology and Pain Medicine, Institute of Medical Sciences, Kangwon National University Hospital, School of Medicine, Chuncheon, South Korea

Seongsik Kang, Kangwon National university hospital

Department of Anesthesiology and Pain Medicine, Institute of Medical Sciences, Kangwon National University Hospital, School of Medicine, Chuncheon, South Korea

References

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Published

2019-04-20

How to Cite

Yang, Y. H., Kim, N. Y., Kim, S., Kim, M., & Kang, S. (2019). Anesthetic Management of 70 Year Old Woman with Cor triatriatum Sinister. Asian Journal of Pharmacy, Nursing and Medical Sciences, 7(2). https://doi.org/10.24203/ajpnms.v7i2.5769

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Section

Articles