{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:48:15Z","timestamp":1787071695773,"version":"build-2736575974"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2010,5]]},"abstract":"<jats:p>\n                    Cor-triatriatum is a rare congenital cardiac anomaly. It accounts for 0.1% of congenital heart diseases. Its association with multiple ventricular septal defects (VSD) is even rarer. A five-month-old baby was admitted with respiratory distress and failure to thrive. Clinical examination revealed diastolic murmur over mitral area. Chest X-ray showed cardiomegaly. Haematological and biochemical investigations were within normal limits. Electrocardiogram showed left atrial enlargement. 2D echo showed double-chambered left atrium (cor-triatriatum), atrial septal defect (ASD) and muscular VSD with moderate pulmonary arterial hypertension. The child was treated with 100% oxygen, diuretics and digoxin and was stabilized medically. We used balanced anaesthetic technique using oxygen, air, isoflurane, fentanyl, midazolam and vecuronium. Patient was operated under cardiopulmonary bypass (CPB) with moderate hypothermia. Through right atriotomy abnormal membrane in the left atrium was excised to make one chamber. VSD were closed with Dacron patches and ASD was closed with autologous pericardial patch. Patient tolerated the whole procedure well and was ventilated electively for 12h in the intensive care unit. He was discharged on the 10\n                    <jats:sup>th<\/jats:sup>\n                    postoperative day.\n                  <\/jats:p>","DOI":"10.4103\/0019-5049.65375","type":"journal-article","created":{"date-parts":[[2010,7,11]],"date-time":"2010-07-11T21:55:24Z","timestamp":1278885324000},"page":"242-245","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Anaesthetic management of a child with \u201ccor\u2013triatriatum\u201d and multiple ventricular septal defects \u2013 A rare congenital anomaly"],"prefix":"10.4103","volume":"54","author":[{"given":"Sriram","family":"Sabade","sequence":"first","affiliation":[{"name":"Consultant Cardiac Anaesthesiologist, J. N. Medical College, Nehru Nagar, Belgaum \u2013 590 010, Karnataka, India"},{"name":"Department of Anaesthesiology, J. N. Medical College, Nehru Nagar, Belgaum \u2013 590 010, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anand","family":"Vagrali","sequence":"additional","affiliation":[{"name":"Consultant Cardiac Anaesthesiologist, J. N. Medical College, Nehru Nagar, Belgaum \u2013 590 010, Karnataka, India"},{"name":"Department of Anaesthesiology, J. N. Medical College, Nehru Nagar, Belgaum \u2013 590 010, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharan","family":"Patil","sequence":"additional","affiliation":[{"name":"Consultant Cardiac Anaesthesiologist, J. N. Medical College, Nehru Nagar, Belgaum \u2013 590 010, Karnataka, India"},{"name":"Department of Anaesthesiology, J. N. Medical College, Nehru Nagar, Belgaum \u2013 590 010, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveen","family":"Kalligudd","sequence":"additional","affiliation":[{"name":"Consultant Cardiac Anaesthesiologist, J. N. Medical College, Nehru Nagar, Belgaum \u2013 590 010, Karnataka, India"},{"name":"Department of Anaesthesiology, J. N. Medical College, Nehru Nagar, Belgaum \u2013 590 010, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vithal","family":"Dhulked","sequence":"additional","affiliation":[{"name":"Consultant Cardiac Anaesthesiologist, J. N. Medical College, Nehru Nagar, Belgaum \u2013 590 010, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M D","family":"Dixit","sequence":"additional","affiliation":[{"name":"Director, KLES Heart Foundation, J. N. Medical College, Nehru Nagar, Belgaum \u2013 590 010, Karnataka, India"},{"name":"Professor, Department of CVTS, J. N. Medical College, Nehru Nagar, Belgaum \u2013 590 010, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohan","family":"Gan","sequence":"additional","affiliation":[{"name":"Professor, Department of CVTS, J. N. Medical College, Nehru Nagar, Belgaum \u2013 590 010, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Dayal","sequence":"additional","affiliation":[{"name":"Professor, Department of CVTS, J. N. Medical College, Nehru Nagar, Belgaum \u2013 590 010, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R2-20251205","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1016\/0003-4975(90)90190-H","article-title":"Cor triatriatum: Clinical presentation and surgical results in 12 patients","volume":"50","author":"Rodefeld","year":"1990","journal-title":"Ann Thorac Surg"},{"key":"R3-20251205","first-page":"1088","article-title":"Cor triatriatum Clinical Presentation and operative results","volume":"101","author":"Salomne","year":"1991","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R4-20251205","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1016\/S0022-5223(99)70445-9","article-title":"Techniques and results in management of multiple ventricular septal defects","volume":"117","author":"Durham","year":"1999","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R5-20251205","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/S0300-8932(97)73221-4","article-title":"Cor triatriatum with interventricular communication: Doppler color ultrasonography and magnetic resonance diagnosis: Repair in the first months","volume":"50","author":"Cabrera","year":"1997","journal-title":"Rev Esp Cardiol"},{"key":"R6-20251205","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.1016\/S0022-5223(19)36628-0","article-title":"Cor triatriatum: Clinical presentation and operative results","volume":"101","author":"Salomone","year":"1991","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R7-20251205","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1016\/S0025-6196(12)60693-4","article-title":"Cor triatriatum: Diagnosis operative approach and late results","volume":"68","author":"van Son","year":"1993","journal-title":"Mayo Clinic Proc"},{"key":"R8-20251205","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1016\/0002-9149(82)91959-2","article-title":"Concealed left atrial membrane: pitfalls in the diagnosis of cor triatriatum and supravalve mitral ring","volume":"49","author":"Jacobstein","year":"1982","journal-title":"Am J Cardiol"},{"key":"R9-20251205","doi-asserted-by":"crossref","first-page":"1999","DOI":"10.1016\/j.athoracsur.2008.01.037","article-title":"Cor triatriatum associated with ASD and common atrium in 7-month-old with tachypnea and failure to thrive","volume":"86","author":"McLean","year":"2008","journal-title":"Ann Thorac Surg"},{"key":"R10-20251205","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1016\/S0003-4975(10)61594-9","article-title":"Cor triatriatum Operative results in 25 patients","volume":"35","author":"Oglietti","year":"1983","journal-title":"Ann Thorac Surg"},{"key":"R11-20251205","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1136\/thx.28.2.242","article-title":"Surgical treatment of cor triatriatum in a 4 and one-half-month-old infant","volume":"28","author":"Oelert","year":"1973","journal-title":"Thorax"},{"key":"R13-20251205","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1097\/00000542-197111000-00018","article-title":"Emergency closed mitral commissurotomy using ketamine anesthesia: Report of a Case","volume":"35","author":"Lippmann","year":"1971","journal-title":"Anesthesiology"},{"key":"R14-20251205","doi-asserted-by":"crossref","first-page":"49","DOI":"10.4103\/0971-9784.37897","article-title":"Perioperative management of cor\u2013triatriatum with congenitally corrected transposition of great arteries","volume":"9","author":"Das","year":"2006","journal-title":"Ann Card Anaesth"}],"container-title":["Indian Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01762628-201054030-00013","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:51:22Z","timestamp":1787068282000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01762628-201054030-00013"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,5]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2010]]}},"URL":"https:\/\/doi.org\/10.4103\/0019-5049.65375","relation":{},"ISSN":["0019-5049","0976-2817"],"issn-type":[{"value":"0019-5049","type":"print"},{"value":"0976-2817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,5]]}}}