Cor triatriatum - Revision history

Danbot: Add verified PubMed references (PMIDs 27913770)

2026-03-22T11:00:15Z

Add verified PubMed references (PMIDs 27913770)

← Older revision		Revision as of 11:00, 22 March 2026
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	==Background==		==Background==
	[[File:Cor triatriatum.jpg\|thumb\|XC: anomalous upper chamber]]		[[File:Cor triatriatum.jpg\|thumb\|XC: anomalous upper chamber]]
	*Congenital anomaly: heart with three atria		*Congenital anomaly: heart with three atria<ref>Jha AK, Makhija N. Cor Triatriatum: A Review. Semin Cardiothorac Vasc Anesth. 2017 Jun;21(2):178-185. PMID 27913770</ref>
	*Either LA or RA can be divided into 2 compartments (cor triatriatum sinistrum or cor triatriatum dextrum)		*Either LA or RA can be divided into 2 compartments (cor triatriatum sinistrum or cor triatriatum dextrum)
	*Can be associated with other congenital syndromes including [[tetralogy of Fallot]], double outlet RV, [[coarctation of the aorta]], [[VSD]], AV septal defect		*Can be associated with other congenital syndromes including [[tetralogy of Fallot]], double outlet RV, [[coarctation of the aorta]], [[VSD]], AV septal defect

Rossdonaldson1: /* See Also */

2022-05-14T12:45:12Z

ClaireLewis: /* Background */

2019-08-18T16:48:21Z

Background

← Older revision		Revision as of 16:48, 18 August 2019
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	*Congenital anomaly: heart with three atria		*Congenital anomaly: heart with three atria
	*Either LA or RA can be divided into 2 compartments (cor triatriatum sinistrum or cor triatriatum dextrum)		*Either LA or RA can be divided into 2 compartments (cor triatriatum sinistrum or cor triatriatum dextrum)
	*Can be associated with other congenital syndromes including [[tetralogy of Fallot]], double outlet RV, [[coarctation of aorta]], [[VSD]], AV septal defect		*Can be associated with other congenital syndromes including [[tetralogy of Fallot]], double outlet RV, [[coarctation of the aorta]], [[VSD]], AV septal defect
	*0.1-0.4% incidence in USA		*0.1-0.4% incidence in USA

ClaireLewis at 20:22, 11 August 2017

2017-08-11T20:22:33Z

← Older revision		Revision as of 20:22, 11 August 2017
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	==Background==		==Background==
			[[File:Cor triatriatum.jpg\|thumb\|XC: anomalous upper chamber]]
	*Congenital anomaly: heart with three atria		*Congenital anomaly: heart with three atria
	*Either LA or RA can be divided into 2 compartments (cor triatriatum sinistrum or cor triatriatum dextrum)		*Either LA or RA can be divided into 2 compartments (cor triatriatum sinistrum or cor triatriatum dextrum)
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	*Can be incidental finding in adults as either isolated finding or in association with PFO, ASD, persistent left superior vena cava		*Can be incidental finding in adults as either isolated finding or in association with PFO, ASD, persistent left superior vena cava
	*Symptoms depend on size of opening in accessory membrane between the atria		*Symptoms depend on size of opening in accessory membrane between the atria
	*Symptoms include dyspnea on exertion, orthopnea, easy fatiguability, low exercise tolerance, palpitations		*Symptoms include [[dyspnea]] on exertion, orthopnea, easy fatiguability, low exercise tolerance, [[palpitations]]
	*Increased risk of thrombus formation in LA		*Increased risk of thrombus formation in LA
			*[[Murmur]]
			*Elevated JVD
			*[[Hepatomegaly]]
			*[[Ascites]]
			*Peripheral edema

	==Differential Diagnosis==		==Differential Diagnosis==
	*Pericarditis		*[[Pericarditis]]
	*Pulmonary Hypertension		*[[Pulmonary Hypertension]]
	*Right heart ~~Failure~~		*Right [[heart failure]]
	*Atrial Myxoma		*Atrial Myxoma
	*Mitral Stenosis		*[[Mitral Stenosis]]
	*Tricuspid Stenosis		*Tricuspid Stenosis

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	==Evaluation==		==Evaluation==
	*~~Murmur~~		*Initial workup may include:
	*~~Elevated JVD~~		**[[ECG]]: Atrial premature complexes, Left or Right atrial abnormalities, Right axis deviation, Right heart strain
	*~~Hepatomegaly~~		**[[CXR]]
	*~~Ascites~~		**[[Echocardiography]]
	*~~Peripheral edema~~		**Right heart cath
	*~~Often discovered on cardiac imaging studies (Echo,~~ Right heart cath)

	==Management==		==Management==
	*As associated with major cyanotic or acyanotic congenital heart lesions, mortality can be up to 75% in untreated symptomatic infants		*As associated with major cyanotic or acyanotic congenital heart lesions, mortality can be up to 75% in untreated symptomatic infants
	*~~Initial workup may include:~~		*Treat increased pulmonary vascular resistance, [[heart failure]]
	**[[~~ECG~~]]~~: Atrial premature complexes~~, ~~Left or Right atrial abnormalities~~, ~~Right axis deviation, Right heart strain~~		*Inotropic agents (eg, [[dopamine]], [[dobutamine]]), [[diuretics]]
	**Chest Xray		*Manage [[hypoxia]], fluid status, rate in [[afib]]
	**Echocardiogram
	**Right Heart Cath
	*Control hypoxia, fluid status, rate in ~~Afib~~
	*[[DVT]]/PE prophylaxis		*[[DVT]]/PE prophylaxis
			**Cardiac surgery consultation

	==Disposition==		==Disposition==
	*Cardiac surgery consultation
	*Medical management includes treating increased pulmonary vascular resistance, heart failure.
	**Inotropes, diuretics

	==See Also==		==See Also==

Neil.m.young: Text replacement - " L " to " left "

2017-02-28T01:32:43Z

Text replacement - " L " to " left "

← Older revision		Revision as of 01:32, 28 February 2017
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	==Clinical Features==		==Clinical Features==
	*Sinistrum variant most associated with other congenital cardiovascular defects in symptomatic infants		*Sinistrum variant most associated with other congenital cardiovascular defects in symptomatic infants
	*Can be incidental finding in adults as either isolated finding or in association with PFO, ASD, persistent L superior vena cava		*Can be incidental finding in adults as either isolated finding or in association with PFO, ASD, persistent left superior vena cava
	*Symptoms depend on size of opening in accessory membrane between the atria		*Symptoms depend on size of opening in accessory membrane between the atria
	*Symptoms include dyspnea on exertion, orthopnea, easy fatiguability, low exercise tolerance, palpitations		*Symptoms include dyspnea on exertion, orthopnea, easy fatiguability, low exercise tolerance, palpitations

Ostermayer: Text replacement - "DVT" to "DVT"

2017-01-27T21:18:04Z

Text replacement - "*DVT" to "*DVT"

← Older revision		Revision as of 21:18, 27 January 2017
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	**Right Heart Cath		**Right Heart Cath
	*Control hypoxia, fluid status, rate in Afib		*Control hypoxia, fluid status, rate in Afib
	*DVT/PE prophylaxis		*[[DVT]]/PE prophylaxis

	==Disposition==		==Disposition==

Rossdonaldson1: Text replacement - "ECG" to "ECG"

2016-09-09T13:06:54Z

Text replacement - "*ECG" to "*ECG"

← Older revision		Revision as of 13:06, 9 September 2016
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	*As associated with major cyanotic or acyanotic congenital heart lesions, mortality can be up to 75% in untreated symptomatic infants		*As associated with major cyanotic or acyanotic congenital heart lesions, mortality can be up to 75% in untreated symptomatic infants
	*Initial workup may include:		*Initial workup may include:
	**ECG: Atrial premature complexes, Left or Right atrial abnormalities, Right axis deviation, Right heart strain		**[[ECG]]: Atrial premature complexes, Left or Right atrial abnormalities, Right axis deviation, Right heart strain
	**Chest Xray		**Chest Xray
	**Echocardiogram		**Echocardiogram

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-22T04:53:56Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 04:53, 22 July 2016
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	{{Congenital heart disease DDX}}		{{Congenital heart disease DDX}}

	==~~Diagnosis~~==		==Evaluation==
	*Murmur		*Murmur
	*Elevated JVD		*Elevated JVD

Rossdonaldson1: /* References */

2016-05-11T13:55:35Z

References

← Older revision		Revision as of 13:55, 11 May 2016
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	==References==		==References==
	*MedScape
	<references/>		<references/>

	[[Category:Pediatrics]]		[[Category:Pediatrics]]
	[[Category:Cardiology]]		[[Category:Cardiology]]

Rossdonaldson1: /* References */

2016-05-11T13:55:26Z

References

← Older revision		Revision as of 13:55, 11 May 2016
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	*MedScape		*MedScape
	<references/>		<references/>

			[[Category:Pediatrics]]
			[[Category:Cardiology]]

← Older revision		Revision as of 12:45, 14 May 2022
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	==See Also==		==See Also==
	[[Congenital heart disease]]		*[[Congenital heart disease]]

	==External Links==		==External Links==

Cor triatriatum - Revision history

Danbot: Add verified PubMed references (PMIDs 27913770)

Rossdonaldson1: /* See Also */

ClaireLewis: /* Background */

ClaireLewis at 20:22, 11 August 2017

Neil.m.young: Text replacement - " L " to " left "

Ostermayer: Text replacement - "*DVT" to "*DVT"

Rossdonaldson1: Text replacement - "*ECG" to "*ECG"

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

Rossdonaldson1: /* References */

Rossdonaldson1: /* References */

Ostermayer: Text replacement - "DVT" to "DVT"

Rossdonaldson1: Text replacement - "ECG" to "ECG"