Conflict of interest: Nothing to report.
Pediatric and Congenital Heart Disease
An unusual cause of elevated pulmonary capillary wedge pressure in a child with tetralogy of fallot
Article first published online: 26 FEB 2013
Copyright © 2012 Wiley Periodicals, Inc.
Catheterization and Cardiovascular Interventions
Volume 82, Issue 4, pages E507–E510, 1 October 2013
How to Cite
Gupta, S. K., Ramakrishnan, S. and Doshi, S. (2013), Cor triatriatum. Cathet. Cardiovasc. Intervent., 82: E507–E510. doi: 10.1002/ccd.24752
- Issue published online: 23 SEP 2013
- Article first published online: 26 FEB 2013
- Accepted manuscript online: 21 NOV 2012 02:56PM EST
- Manuscript Accepted: 7 NOV 2012
- Manuscript Received: 22 SEP 2012
- tetralogy of Fallot;
- cor triatriatum;
- left superior vena cava;
- unroofed coronary sinus;
- pulmonary capillary wedge pressure
The coexistence of cor triatriatum and tetralogy of Fallot (TOF) is rare. Preoperative identification of cor triatriatum may be difficult owing to reduced pulmonary blood flow in patients with TOF. However, it is imperative to identify this rare combination as failure to identify obstruction to pulmonary venous egress may result in persistent pulmonary venous hypertension postoperatively. The authors discuss hemodynamic aspects of this rare coexistence in a 14-month-old child in whom pulmonary capillary wedge pressure was elevated despite right ventricular outflow obstruction. © 2012 Wiley Periodicals, Inc.