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Divided right atrium. Diagnosis by echocardiography, and considerations on the functional role of the Eustachian valve

Published online by Cambridge University Press:  19 August 2008

Antonio F. Corno*
Affiliation:
Pediatric Cardiac Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
Cédric Bron
Affiliation:
Pediatric Cardiac Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
Ludwig K. von Segesser
Affiliation:
Pediatric Cardiac Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
*
Antonio F. Corno, MD, FRCS, Centre Hospitalier Universitaire Vaudois, Rue du Bugnon 46, CH-1011, Lausanne, Switzerland. Tel: 41 21 314 2280; Fax: 41 21 314 2278; E-mail: Anconio-Corno@chuv.hospvd.ch

Abstract

A child presented at birth with severe cyanosis. Echocardiography showed hypoplasia of the right heart with a right-to-left shunt at atrial level. A conservative approach was adopted initially, and the situation improved over a few months, with reversal of the atrial shunt. Surgery was successfully performed at 4 years of age after further echocardiography revealed a congenitally large Eustachian valve and an atrial septal defect.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1999

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References

1.Anderson, RH. Understanding the nature of congenital division of the atrial chambers. Br Heart J 1992; 68: 13.Google Scholar
2.Doucette, J, Knoblich, R. Persistent right valve of the sinus venosus. Arch Pathol 1963; 75: 117123.Google ScholarPubMed
3.Trento, A, Zuberbuhler, JR, Anderson, RH, Park, SC, Sewers, RD. Divided right atrium (prominence of the Eustachian and Thebesian valves). J Thorac Cardiovasc Surg 1988; 96: 457463.Google Scholar
4.Ott, DA, Cooley, DA, Angelini, P, Leachman, RD. Successful surgical correction of symptomatic cor atrium dexter. J Thorac Cardiovasc Surg 1979; 78: 573575.CrossRefGoogle ScholarPubMed
5.Goh, K, Sasajima, T, Inaba, M, Yamamoto, H, Kawashima, E, Kubo, YIsolated right ventricular hypoplasia: intraoperative balloon occlusion test. Ann Thorac Surg 1998; 65: 551553.CrossRefGoogle ScholarPubMed
6.Becker, AE, Anderson, RH. Hypoplasia of the right ventricle. In Pathology of Congenital Heart Disease. Butterworths, London, 1981, pp 1191127.Google Scholar