Vol 14, No 3 (2019)
Cardiac Surgery
Published online: 2019-07-04
A previously asymptomatic two month-old infant with unique presentation of cor triatriatum sinister, right partial anomalous pulmonary venous return, and critical supravalvular stenosis of mitral valve
DOI: 10.5603/FC.2019.0065
Folia Cardiologica 2019;14(3):324-327.
Abstract
Major developments in diagnostic techniques in pre- and neonatal care have significantly reduced the rate of undetected congenital heart defects (CHD). Despite such advances, several patients with critical congenital heart defects are discharged annually from neonatal units with no proper diagnosis or treatment.
We present the case of a two month-old originally asymptomatic girl who represents the perfect example of such a situation. The infant was diagnosed just after pulmonary and cardiovascular decompensation with critical, complex CHD. The absence of disease symptoms of occurred due to a rare and specific morphology of pulmonary vessels and intracardiac membranes.
Keywords: congenital heart defectcor triatriatum sinisteranomalous pulmonary venous returnmitral stenosissupravalvularechocardiographydiagnosisinterventionsurgeryscreening
References
- Rosati E, Chitano G, Dipaola L, et al. Indications and limitations for a neonatal pulse oximetry screening of critical congenital heart disease. J Perinat Med. 2005; 33(5): 455–457.
- Koppel RI, Druschel CM, Carter T, et al. Effectiveness of Pulse Oximetry Screening for Congenital Heart Disease in Asymptomatic Newborns. PEDIATRICS. 2003; 111(3): 451–455.
- Zhang YF, Zeng XL, Zhao EF, et al. Diagnostic Value of Fetal Echocardiography for Congenital Heart Disease: A Systematic Review and Meta-Analysis. Medicine (Baltimore). 2015; 94(42): e1759.
- Ganesan S, Brook MM, Silverman NH, et al. Prenatal findings in total anomalous pulmonary venous return: a diagnostic road map starts with obstetric screening views. J Ultrasound Med. 2014; 33(7): 1193–1207.
- Geggel RL, Fulton DR, Chernoff HL, et al. Cor triatriatum associated with partial anomalous pulmonary venous connection to the coronary sinus: echocardiographic and angiocardiographic features. Pediatr Cardiol. 1987; 8(4): 279–283.
- Slight RD, Nzewi OC, Buell R, et al. Cor-triatriatum sinister presenting in the adult as mitral stenosis: an analysis of factors which may be relevant in late presentation. Heart Lung Circ. 2005; 14(1): 8–12.
- Gustafson RA, Warden HE, Murray GF, et al. Partial anomalous pulmonary venous connection to the right side of the heart. J Thorac Cardiovasc Surg. 1989; 98(5 Pt 2): 861–868.
