Mid-term outcomes of cor triatriatum repair: comparison of biventricular physiology and univentricular physiology

Hiroyuki Nagao, Toshikatsu Tanaka

Kobe Children’s Hospital.
Japan

Cardiology in the Young
Cardiol Young 2021; 31: 186-190
DOI: 10.1017/S1047951120003595

Abstract
Background: Cor triatriatum is the rarest of all congenital cardiac diseases, accounting for 0.1-0.4% of congenital heart diseases. Atrial septal defect is the most common associated defect; however, cor triatriatum is sometimes associated with univentricular heart.
Methods: This single-centre retrospective study involved all patients who underwent the repair of cor triatriatum at Kobe Children’s Hospital between 2000 and 2020. Twenty-four patients were required surgery. We conducted a survey of survival rate, early and late pulmonary vein stenosis in each group.
Results: The survival rate of 5 years after cor triatriatum resection was 100% in the biventricular group and 82.1% in the univentricular group, respectively. The free rate for pulmonary stenosis of 5 years after surgery was 100% in the biventricular group and 90.0% in the univentricular group, respectively. There was no statistical difference in survival rate and 5 years free rate for pulmonary stenosis after surgery.
Conclusions: The results showed that surgical correction offers good early and mid-term outcomes for both cor triatriatum with biventricular and univentricular physiologies.

Category
Stenosis or Obstruction of Pulmonary Veins Following Surgical Repair of Cor Triatriatum
Incidence or Prevalence of Disease
Patient Factors Influencing the Onset, Severity or Outcome of Disease

Year of Publication: 2021

Age Focus: Pediatric

Article Type: Retrospective Observational Case-Control or Other Comparative Studies

Article Access: Free PDF File or Full Text Article Available Through PubMed or DOI: No