CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2020; 09(01): e4-e8
DOI: 10.1055/s-0039-3402765
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

Single Atrium and Miscarriages

1  Department of Cardiosurgery, American Hospital Kosovo, Prishtina, Kosovo
Arben Kojqiqi
2  Department of Cardiosurgery, American Hospital 3, Tirana, Albania
Ismet Jusufi
3  Department of Anesthesiology, American Hospital Kosovo, Prishtina, Kosovo
Besnik Kojcici
1  Department of Cardiosurgery, American Hospital Kosovo, Prishtina, Kosovo
› Author Affiliations
Funding No funding was provided.
Further Information

Publication History

29 April 2019

31 July 2019

Publication Date:
25 February 2020 (online)


Background A single atrium is a very rare heart condition, in which the inter atrial septum is missing. These congenital heart defects usually are surgically corrected after birth.

Case Presentation We present a successful surgical repair of a single atrium (SA) in a 27-year-old woman, who has a complete missing of the atrial septum, without coexisting valvular pathology. The SA diameter was 9.97 × 6.18 cm and the Systemic blood flow/pulmonary blood flow (Qp/Qs) was 4.1 due to the single atrium. Surgical correction consisted of creating a new atrial septum, using a double-velor patch. At first- and second-year follow up, the patient was in a very good condition and without any symptoms present. We consider that the diagnoses of single atrium, especially in child bearing women, should be done in appropriate time, to avoid miscarriages, preterm births and other complications associated.

Conclusion There are many case reports that show good surgical repair of single atrium and without late complications. In our case, we have obtained a very good surgical repair, without AV bundle damage and no residual shunt demonstrated on intraoperative transesophageal echocardiography.

Consent for Publication

Written informed consent for publication of his clinical details and clinical images was obtained from the patient.