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Cor triatriatum is a rare cardiac malformation in which the left atrium is subdivided into two chambers by a fibromuscular septum, one locates posterosuperiorly, which is connects with the pulmonary veins, and the other locates anteroinferiorly connecting with the mitral valves and left ventricie. It is often lethal in children with cor triatriatum due to congestive heart faliure which develops abruptly and rapidly. So, the most important thing is early detection of the disease. We experienced a case of cor triatriatum in 20 month-old female. She had severe symptoms related to congestive heart faliure, and the conditions showed dangerous. Echocardiography was used for correct diagnosis. The patients was improved dramatically after proper surgery. So, We reported this case and review literatures briefly.
Child ; Cor Triatriatum* ; Diagnosis ; Echocardiography ; Estrogens, Conjugated (USP) ; Female ; Heart ; Heart Atria ; Heart Septal Defects, Atrial* ; Humans ; Infant ; Mitral Valve ; Pulmonary Veins

6.Anesthesia for Thymectomy in Myasthenia Gravis - Report of 9 cases.

Hee Soon SA ; Soon Ho NAM ; Sou Ouk BANG ; Hung Kun OH

Korean Journal of Anesthesiology 1987;20(2):152-158

We have mnanaged the anesthetic and postoperative care in 9 patients with myasthenia gravis who underwent thymectomy and obtained following resultsa : 1) Premedication was glycoprrrolate 0.004mg/kg or atropine 0.01mg/kg and hydroxyzine 1~2mg/kg, I.M. Anesthetic induction was by thiopental 4~5mg/kg with 7he inhalation of halothane 1~2 % or enflurane 4~5%, and followed by endotracheal intubation. Anesthetic maintanance was done by N2O and halothane or enflurane. 2) Mean duration from the end of operation to intubation was 11.83+/-3.37hrs. 5 patients required reintubation. The mean duration from the extubation to reintubation was 33.11+/- 21.06hrs for these 5 patients. Over all this entire group of patients were placed on the respirator for a mean of 5.33+/-1.46dara. 3) Complication occured were 2 cases of cholinergic crisis, 1 cases of lung abscess, 2 cases of dyspnea and 1 case of tension pneumothorax 4) Abstinence of muscle relaxants, adequate respiratory care and the protection from cholinergic crisis were the most important factora for successful management.
Anesthesia* ; Atropine ; Dyspnea ; Enflurane ; Halothane ; Humans ; Hydroxyzine ; Inhalation ; Intubation ; Intubation, Intratracheal ; Lung Abscess ; Myasthenia Gravis* ; Pneumothorax ; Postoperative Care ; Premedication ; Thiopental ; Thymectomy* ; Ventilators, Mechanical

1.Studies on Type A and Type B Acute Hepatitis in Children.

2.The hemodynamic effects of morphine, pancuronium and diazepam during mechanical ventilation.

3.A Case of Chronic Atrial Tachycardia.

4.A Case of Pericarditis as a Complication of Meningococcal Meningitis.

5.A Case of Cor Triatriatum with Atrial Septal Defect.

6.Anesthesia for Thymectomy in Myasthenia Gravis - Report of 9 cases.

7.A Study on Nursing Equipment Development in Male Patients with Urinary Incontinence.

8.Two cases of hypothyroidism presenting with dyspnea.

9.The Onset of Air Breathing at Birth and Control of Breathing.

10.A Case of Congenital Anterior Urethral Diverticulum.

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