Arciniegas E, Farooki Z Q, Hakimi M, Perry B L, Green E W
Ann Thorac Surg. 1981 Dec;32(6):571-7. doi: 10.1016/s0003-4975(10)61801-2.
Six patients with cor triatriatum underwent surgical correction. They ranged for 1.5 to 93 months old (mean, 22 months). Congestive heart failure was present in 3 patients. Cardiomegaly and increased pulmonary vascularity were evident roentgenographically in all patients. Cardiac cineangiography demonstrated the subdividing left atrial membrane in 5 patients and suggested the correct diagnosis by revealing an abnormal configuration of the left atrium in the other patient. The opening in the anomalous left atrial membrane was stenotic in every instance. The proximal left atrial chamber communicated with the right atrium through an atrial septal defect in 5 patients and with the systemic venous circuit through a persistent left superior vena cava in the other patient, in whom the atrial septum was intact. A right atrial-transseptal approach provided ample exposure for complete excision of the obstructing membrane and repair of the atrial septum in all patients. One patient died of low cardiac output during the early postoperative period. The other 5 are alive and well at an average of 48 months after operation.
6例三房心患者接受了手术矫正。他们的年龄在1.5至93个月之间（平均22个月）。3例患者存在充血性心力衰竭。所有患者X线检查均显示心脏增大和肺血管增多。心脏电影血管造影显示5例患者有左心房隔膜分隔，另一例患者通过显示左心房异常形态提示了正确诊断。异常左心房隔膜的开口均有狭窄。5例患者近端左心房腔通过房间隔缺损与右心房相通，另一例患者房间隔完整，近端左心房腔通过永存左上腔静脉与体静脉循环相通。右心房经房间隔入路为所有患者完全切除梗阻性隔膜和修复房间隔提供了充分的暴露。1例患者术后早期死于低心排血量。其他5例患者术后平均48个月存活且状况良好。
