Cor Triloculare Biatriatum

Author:

CHAMBERS WILLIAM N.1,CRISCITIELLO MODESTINO G.1,GOODALE FAIRFIELD1

Affiliation:

1. From the Department of Medicine, Dartmouth Medical School, and the Hitchcock Clinic and Hospital, Hanover, N. H.

Abstract

The case of a 41-year-old woman with congenital pulmonary stenosis and single ventricle is reported. This is the fifteenth instance recorded of survival to adult life of a patient with cor triloculare biatriatum. Increased pulmonary resistance may be a reason for her comparative longevity, and the significance of prominent bronchopulmonary anastomoses has been discussed. This patient's course demonstrates the hazards of phlebotomy in congenital heart disease and secondary polycythemia. The mechanism for this adverse effect is not understood and warrants further study. Although others have discussed the problem informally, this appears to be the first documented report of the precipitation of multiple cerebral thromboses following phlebotomies.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference24 articles.

1. ABBOTT M. E.: Atlas of Congenital Cardiac Disease. New York American Heart Association 1936.

2. TAUSsIG H. B.: Congenital Malformations of the Heart. N. Y. The Commonwealth Fund 1947.

3. Cor triloculare biatriatum: An analysis of the clinical and pathologic features of nine cases

4. COR BIATRIATUM TRILOCULARE WITH RUDIMENTARY RIGHT VENTRICLE, HYPOPLASIA OF TRANSPOSED AORTA, AND PATENT DUCTUS ARTERIOSUS, TERMINATING BY RUPTURE OF DILATED PULMONARY ARTERY

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