title: Cor triatriatum dexter and atrial septal defect in a 43-year-old woman.
abstract: Cor triatriatum dexter is a rare congenital heart anomaly in which a membrane divides the right atrium into 2 chambers. We report the case of a 43-year-old woman who had cor triatriatum dexter and a large atrial septal defect. During attempted percutaneous closure, the balloon disrupted the membrane and revealed that the defect had no inferior rim, precluding secure placement of an Amplatzer Septal Occluder. Surgical treatment subsequently proved to be successful. In patients with an incomplete membrane and a septal defect with well-defined rims, percutaneous treatment can be the first choice. In patients who have cor triatriatum dexter and unfavorable anatomic features or concomitant complex heart anomalies, open-heart surgery remains the gold standard for treatment.
authors.affiliation: Departments of Cardiac Surgery (Drs. Micovic, Milicic, Stojanovic, and Vukovic) and Cardiology (Drs. Jovovic and Kosevic), Dedinje Cardiovascular Institute, 11040 Belgrade, Serbia.
authors.forename: Petar M
authors.initials: PM
authors.lastname: Vukovic
authors.affiliation: Departments of Cardiac Surgery (Drs. Micovic, Milicic, Stojanovic, and Vukovic) and Cardiology (Drs. Jovovic and Kosevic), Dedinje Cardiovascular Institute, 11040 Belgrade, Serbia.
authors.forename: Dragana
authors.initials: D
authors.lastname: Kosevic
authors.affiliation: Departments of Cardiac Surgery (Drs. Micovic, Milicic, Stojanovic, and Vukovic) and Cardiology (Drs. Jovovic and Kosevic), Dedinje Cardiovascular Institute, 11040 Belgrade, Serbia.
authors.forename: Miroslav
authors.initials: M
authors.lastname: Milicic
authors.affiliation: Departments of Cardiac Surgery (Drs. Micovic, Milicic, Stojanovic, and Vukovic) and Cardiology (Drs. Jovovic and Kosevic), Dedinje Cardiovascular Institute, 11040 Belgrade, Serbia.
authors.forename: Ljiljana
authors.initials: L
authors.lastname: Jovovic
authors.affiliation: Departments of Cardiac Surgery (Drs. Micovic, Milicic, Stojanovic, and Vukovic) and Cardiology (Drs. Jovovic and Kosevic), Dedinje Cardiovascular Institute, 11040 Belgrade, Serbia.
authors.forename: Ivan
authors.initials: I
authors.lastname: Stojanovic
authors.affiliation: Departments of Cardiac Surgery (Drs. Micovic, Milicic, Stojanovic, and Vukovic) and Cardiology (Drs. Jovovic and Kosevic), Dedinje Cardiovascular Institute, 11040 Belgrade, Serbia.
authors.forename: Slobodan
authors.initials: S
authors.lastname: Micovic
mesh_terms: D000015:Abnormalities, Multiple; D000328:Adult; D006328:Cardiac Catheterization / Q000295:instrumentation; D006348:Cardiac Surgical Procedures; D003310:Cor Triatriatum / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D017548:Echocardiography, Transesophageal; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D011474:Prosthesis Design; D055989:Septal Occluder Device; D016896:Treatment Outcome
keywords: Abnormalities, multiple; cor triatriatum/complications/surgery; heart atria/pathology; heart defects, congenital/diagnosis; heart septal defects, atrial; treatment outcome