Nunes M A, Fragata J, Lima M
Serviço de Cardiologia Pediátrica, Hospital de Santa Marta, Lisboa.
Rev Port Cardiol. 1993 Dec;12(12):1043-8, 1001.
"Cor triatriatum dexter" (CTD) is an unusual cyanotic cardiac defect in which the right atrium is subdivided into two distinct chambers due to the persistence of the "sinus venosus" valve. Two patients with CTD ho were evaluated and treatment in 1979 and 1992 are described: the first one, had total anomalous pulmonary venous return to the coronary sinus or "cor triatriatum sinister" as preoperative diagnosis based on M-mode echocardiographic findings. The presence of a membrane inside the right atrium was suspected on cineangiogram. The other one had a preoperative diagnosis of CTD. Anatomic relationships and physiological effects were established by two dimensional and Doppler ultrasonography and confirmed at cardiac catheterization and surgery. High resolution two dimensional echocardiography coupled with Doppler ultrasonography has a definite role in the study of this heart defect.
“右三房心”(CTD)是一种罕见的导致发绀的心脏缺陷,其中右心房由于“静脉窦”瓣持续存在而被分为两个不同的腔室。本文描述了1979年和1992年接受评估和治疗的两名CTD患者:第一名患者,术前基于M型超声心动图检查结果诊断为完全性肺静脉异位引流至冠状窦或“左三房心”。心血管造影怀疑右心房内存在隔膜。另一名患者术前诊断为CTD。通过二维和多普勒超声心动图确定了解剖关系和生理影响,并在心脏导管检查和手术中得到证实。高分辨率二维超声心动图结合多普勒超声心动图在研究这种心脏缺陷中具有明确作用。