Korean J Anesthesiol.  2013 Dec;65(6):565-568. 10.4097/kjae.2013.65.6.565.

Usefulness of intraoperative real-time three-dimensional transesophageal echocardiography in preprocedural evaluation of cortriatriatum: a case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Konkuk Universitry Medical Center, Konkuk Universrity School of Medicine, Seoul, Korea. taeyop@kuh.ac.kr
  • 2Department of Anesthesiology and Pain Medicine, Kosin Universitry College of Medicine, Busan, Korea.
  • 3Department of Chest Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.

Abstract

Cortriatriatum is a rare congenital cardiac disorder with fibromuscular band (diaphragm) dividing the left atrium (LA) into the proximal and distal parts. Surgical correction of cortriatriatum requires full preoperative evaluation of the structural anomalies including the LA diaphragm and their pathophysiology. In the present case, a 44 year-old lady diagnosed as cortriatriatum underwent surgical correction. Intraoperative three-dimensional transesophageal echocardiography provided detailed information regarding the shape and extent of the LA diaphragm, which had been partially evaluated by preoperative two-dimensional transthoracic and transesophageal echocardiography, and facilitated the intraoperative patient management and surgical decision making.

Keyword

Cortriatriatum; Transesophageal echocardiography
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