TRIATRIAL HEART - WatsonsHealth

TRIATRIAL HEART

Triatrial Heart, also known as Cor Triatum, is a rare birth defect in the heart. The human heart typically has four chambers, two ventricles and two atria. The two atria are ordinarily isolated from each other by a space called the atrial septum and the two ventricles by the ventricle septum. In cor triatriatum there is a little additional chamber over the left chamber (cor triatriatum sinistrum) or right chamber (cor triatriatum dextrum).

This additional atrial chamber can cause slow blood flow from the lungs to the heart and, after some time, prompts congestive heart failure and heart obstruction.

In kids, cor triatriatum might be related  to major inborn heart issues. In grown-ups, it is usually an isolated finding. Treatment relies on the symptoms and may include medical and surgical methods.

TYPES

Cor triatriatum has 3 types:

Type 1 has no opening in the accessory membrane and the proximal left chamber drains into the right atrium chamber

Type 2 has one or more small openings  or fenestrations, bringing about left ventricular flow obstruction

Sort 3 has a large or nonrestrictive opening in the membrane.

 

SYMPTOMS

Symptoms of triatrial heart include the following:

  • Exertional dyspnea
  • Easy fatigability
  • Hemoptysis
  • Orthopnea
  • Palpitations
  • Signs of thromboembolism such as chest pain or difficulty of breathing

DIAGNOSIS

The doctor will first obtain a complete medical history and will do a physical exam. Tests that may be ordered may include the following:

  • Electrocardiography
  • Right heart catheterization
  • Left heart catheterization
  • Coronary angiography
  • Chest radiography, computed tomography scanning, and magnetic resonance imaging

 

TREATMENT

Medical care for symptomatic cor triatriatum includes the following:

  • Balance hemodynamics by control of hypoxemia, congestion and fluid overload
  • Control ventricular rate in patients with atrial fibrillation
  • Anticoagulation prophylaxis against thrombosis and embolism in those with right-sided heart failure
  • Full anticoagulation in those with atrial fibrillation

Surgery is meant for patients with a significant gradient across the membrane. For cor triatriatum dextrum, observation alone is suitable in asymptomatic patients.

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