naa a22 4500 510742866 CHVBK 20180411083034.0 cr unu---uuuuu 180411e20130601xx s 000 0 eng 10.1007/s12630-013-9922-x doi (NATIONALLICENCE)springer-10.1007/s12630-013-9922-x Isolated cor triatriatum sinistrum and pregnancy: case report and review of the literature [Elektronische Daten] [Katarina Bojanić, Danijel Bursać, Jasenka Zmijanac, Željko Duić, Federica Scavonetto, Toby Weingarten, Juraj Sprung] Cœur triatrial gauche isolé et grossesse: présentation de cas et revue de la littérature Purpose: Isolated cor triatriatum sinistrum (CTS) is a heart malformation in which a perforated fibromuscular membrane divides the left atrium into two chambers. When communication between these chambers is restricted, a patient may have signs and symptoms of mitral stenosis. The later stages of pregnancy are associated with tachycardia and increases in intravascular volume. We describe how this altered physiology may affect pregnant women with asymptomatic CTS. We also review the literature relating to pregnancy in patients with CTS. Clinical features: A 30-yr-old primigravida, at 40weeks of gestation with pre-pregnancy diagnosed asymptomatic CTS, was admitted for delivery. She had no cardiac symptoms during pregnancy, and her vaginal delivery under epidural analgesia was uneventful. This cardiac malformation is infrequently described in pregnant women, but a literature review showed that the physiology of late pregnancy with increases in hemodynamic variables may result in cardiac decompensation. Conclusion: While our patient with isolated CTS and an unrestrictive intra-atrial membrane had an asymptomatic pregnancy and an uneventful labour, the literature review suggests that the increase in intravascular volume and heart rate that occurs during late pregnancy and after delivery may result in cardiac decompensation, even in patients with asymptomatic CTS. Canadian Anesthesiologists' Society, 2013 Bojanić Katarina Department of Obstetrics and Gynecology, Division of Neonatology, University Hospital Merkur, Zagreb, Croatia aut Bursać Danijel Department of Obstetrics and Gynecology, University Hospital Merkur, Zagreb, Croatia aut Zmijanac Jasenka Department of Obstetrics and Gynecology, University Hospital Merkur, Zagreb, Croatia aut Duić Željko Department of Obstetrics and Gynecology, University Hospital Merkur, Zagreb, Croatia aut Scavonetto Federica Department of Anesthesiology, Mayo Clinic, 200 First St SW, 55905, Rochester, MN, USA aut Weingarten Toby Department of Anesthesiology, Mayo Clinic, 200 First St SW, 55905, Rochester, MN, USA aut Sprung Juraj Department of Anesthesiology, Mayo Clinic, 200 First St SW, 55905, Rochester, MN, USA aut Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer-Verlag 60/6(2013-06-01), 577-583 0832-610X 60:6<577 2013 60 12630 https://doi.org/10.1007/s12630-013-9922-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12630-013-9922-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bojanić Katarina Department of Obstetrics and Gynecology, Division of Neonatology, University Hospital Merkur, Zagreb, Croatia aut NATIONALLICENCE 700 1- Bursać Danijel Department of Obstetrics and Gynecology, University Hospital Merkur, Zagreb, Croatia aut NATIONALLICENCE 700 1- Zmijanac Jasenka Department of Obstetrics and Gynecology, University Hospital Merkur, Zagreb, Croatia aut NATIONALLICENCE 700 1- Duić Željko Department of Obstetrics and Gynecology, University Hospital Merkur, Zagreb, Croatia aut NATIONALLICENCE 700 1- Scavonetto Federica Department of Anesthesiology, Mayo Clinic, 200 First St SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 700 1- Weingarten Toby Department of Anesthesiology, Mayo Clinic, 200 First St SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 700 1- Sprung Juraj Department of Anesthesiology, Mayo Clinic, 200 First St SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 773 0- Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer-Verlag 60/6(2013-06-01), 577-583 0832-610X 60:6<577 2013 60 12630 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer