Supramitral valve obstruction from hypertrophied native atrial tissue as a complication of orthotopic heart transplantation.
An acquired form of cor triatriatum, resulting in significant supramitral valve obstruction, complicating a pediatric orthotopic heart transplantation was diagnosed by transesophageal echocardiography. Surgical resection of the hypertrophied atrial septum and atrial wall corrected the anatomic obstruction and improved the hemodynamics.
Law
Y
Y
Department of Pediatrics, Hospital for Sick Children, University of Toronto School of Medicine, Ontario, Canada.
Belassario
A
A
West
L
L
Coles
J
J
Taylor
G
G
Benson
L
L
D000293:Adolescent; D000714:Anastomosis, Surgical; D002312:Cardiomyopathy, Hypertrophic / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D002648:Child; D003310:Cor Triatriatum / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D015150:Echocardiography, Doppler; D017548:Echocardiography, Transesophageal; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006346:Heart Septum / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D016027:Heart Transplantation / Q000379:methods*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D012086:Reoperation; D013536:Suture Techniques; D016278:Ventricular Function, Right / Q000502:physiology