A case of incomplete cor triatriatum sinister associated with large secundum atrial septal defect in an adult patient E10-E11 Erişkin bir hastada büyük atriyal septal defekt ile ilişkili inkomplet kor triatriyatum sinister olgusu
Anadolu Kardiyoloji Dergisi, cilt.10, sa.3, 2010 (SCI-Expanded, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 10 Sayı: 3
- Basım Tarihi: 2010
- Dergi Adı: Anadolu Kardiyoloji Dergisi
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
A 38-year-old-woman presented with dyspnea and palpitation. On physical examination the blood pressure was 120/70 mmHg and the heart rate was regular at 95 beats/min. Cardiac auscultation revealed normal S1, widely split S2 and grade 3/6 systolic murmur along the left sternal edge. Transthoracic echocardiography showed the fibromuscular membrane located above the mitral valve and secundum atrial septal defect (ASD) (Fig. 1, Video 1. See corresponding video/movie images at www.anakarder.com). A minimal pulmonary regurgitation and a moderate tricuspid regurgitation were found. The systolic pressure gradient over the tricuspid valve was 47 mm Hg. The ratio of pulmonary blood flow to systemic blood flow (Qp/Qs) was 2,6. Transesophageal echocardiography clearly showed cor triatriatum sinistra and a large ASD (25mm) (Fig. 2, 3; Video 2, 3. See corresponding video/movie images at www.anakarder.com). The Doppler echocardiography did not show significant gradient through fibromuscular membrane in left atrium. The patient underwent elective surgical treatment with excision of the membrane through a left atriotomy and closure of an ASD. © Copyright 2010 by AVES Yayincilik Ltd.