Congenital Diverticulum of the Left Ventricle Associated with Hypoplastic Right Ventricle and Ventricular Septal Defect

Enlargement of the bulboventricular foramen (BVF) in double-inlet left ventricle or the ventricular septal defect (VSD) in tricuspid atresia with transposition of the great arteries is one approach for prevention or treatment of systemic ventricular outflow obstruction. Most often, BVF/VSD restriction is bypassed preemptively or addressed directly at the time of Glenn/Fontan procedures as part of staged univentricular palliation. We describe a patient who underwent enlargement of a restrictive VSD during Fontan completion and subsequently presented with an asymptomatic pseudoaneurysm of the right ventricle at the ventriculotomy site.

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Primary Intracardiac Repair of Double Outlet Right Ventricle and Ventricular Septal Defect without Pulmonary Stenosis

Asian Cardiovascular and Thoracic Annals ◽

10.1177/021849239500300403 ◽

1995 ◽

Vol 3 (3-4) ◽

pp. 103-108

Author(s):

KG Jaya Prasanna ◽

Krishna Subramony Iyer ◽

Rajesh Sharma ◽

Balram Airan ◽

Ivatury Mrityonjaya Rao ◽

...

Keyword(s):

Left Ventricle ◽

Ventricular Septal Defect ◽

Right Ventricle ◽

Septal Defect ◽

Arterial Switch Operation ◽

Pulmonary Stenosis ◽

Double Outlet Right Ventricle ◽

Arterial Switch ◽

Intracardiac Repair ◽

Switch Operation

From January 1991' to May 1994, 29 patients with double outlet right ventricle with ventricular septal defect, without pulmonary stenosis underwent primary intracardiac repair at the All India Institute of Medical Sciences, New Delhi. Patients were classified into 4 groups based on location of the ventricular septal defect. The ventricular septal defect was subaortic in 11, subpulmonary in 13, doubly committed subarterial in 1, and noncommitted in 4 patients. Surgical treatment consisted of intraventricular routing of the left ventricle to the aorta (17), and the left ventricle to the pulmonary artery followed by an arterial switch operation (12). There were 4 (13.9%) early deaths. Follow-up ranged from 3 months to 3 years (mean, 1.5 years). There was no late mortality. Three patients had residual ventricular septal defect, one of whom has undergone reoperation. One patient has a gradient of 25 mmHg across the left ventricular outflow tract. Double outlet right ventricle with subpulmonic ventricular septal defect was found to be a significant risk factor for early mortality (p = 0.03). The subgroup of double outlet right ventricle with subpulmonic ventricular septal defect who had a combination of single coronary artery and post arterial switch operation was particularly prone to pulmonary hypertensive crisis and hospital death (p = 0.002).

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Congenital Diverticulum of the Right Ventricle Associated with Coarctation of Aorta, Atrial and Ventricular Septal Defect and Ductus

European Journal of Echocardiography ◽

10.1053/euje.2001.0090 ◽

2001 ◽

Vol 2 (3) ◽

pp. 205-206 ◽

Cited By ~ 5

Author(s):

M Villegas García

Keyword(s):

Ventricular Septal Defect ◽

Right Ventricle ◽

Septal Defect ◽

Coarctation Of Aorta ◽

The Right ◽

Congenital Diverticulum

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Congenital diverticulum of the right ventricle with ventricular septal defect

American Heart Journal ◽

10.1016/0002-8703(85)90578-2 ◽

1985 ◽

Vol 109 (3) ◽

pp. 609-611 ◽

Cited By ~ 5

Author(s):

Masaru Terai ◽

Toshio Nakanishi ◽

Kazuo Momma ◽

Fumio Ohta ◽

Yasuharu Imai ◽

...

Keyword(s):

Ventricular Septal Defect ◽

Right Ventricle ◽

Septal Defect ◽

The Right ◽

Congenital Diverticulum

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Feasibility of Biventricular Repair in Right Dominant Unbalanced Atrioventricular Septal Defect: A New Echocardiographic Metric to Refine Surgical Decision-Making

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/2150135117716420 ◽

2017 ◽

Vol 8 (4) ◽

pp. 460-467 ◽

Cited By ~ 6

Author(s):

Ignacio Lugones ◽

María Fernanda Biancolini ◽

Julio César Biancolini ◽

Ana M. S. de Dios ◽

Germán Lugones

Keyword(s):

Decision Making ◽

Left Ventricle ◽

Ventricular Septal Defect ◽

Right Ventricle ◽

Septal Defect ◽

Atrioventricular Septal Defect ◽

Atrioventricular Valve ◽

Biventricular Repair ◽

Surgical Decision ◽

Surgical Decision Making

Background: Unbalanced forms of atrioventricular septal defect continue to be challenging and present poor surgical outcomes. Echocardiographic indicators such as atrioventricular valve index, right ventricle/left ventricle inflow angle, and size of the ventricular septal defect have been identified as relevant discriminators that may guide surgical strategy. Our purpose is to describe another metric to refine surgical decision-making. Methods: We outline a geometrical description of the anatomic features of atrioventricular septal defect and describe equations that help explain the interplay between the main echocardiographic variables. Results: A new metric called “indexed ventricular septal defect” is defined as the size of the defect in relation to the valve diameter. We derive a final equation relating this index with the atrioventricular valve index and the right ventricle/left ventricle inflow angle. In the light of that equation, we discuss the interdependence of variables and employ data from a Congenital Heart Surgeons’ Society study to set the limits of the new index. Conclusion: Combined use of indexed ventricular septal defect and atrioventricular valve index might help clarify surgical decision-making in patients with mild and moderate unbalance (modified atrioventricular valve index between 0.2 and 0.39). For indexed ventricular septal defect smaller than 0.2, biventricular repair may be recommended. Between 0.2 and 0.35, this strategy could probably be achieved depending on other factors. However, other strategies should be considered for those patients showing an indexed ventricular septal defect between 0.35 and 0.5. For values above 0.5 to 0.55, univentricular palliation might be a reasonable strategy.

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Double-chambered right ventricle masquerading as bipartite right ventricle

Cardiology in the Young ◽

10.1017/s1047951121002572 ◽

2021 ◽

pp. 1-2

Author(s):

A. Shaheer Ahmed ◽

Tushar Agarwal

Keyword(s):

Left Ventricle ◽

Ventricular Septal Defect ◽

Right Ventricle ◽

Septal Defect ◽

Pulmonary Valve ◽

Tricuspid Annulus ◽

Pulmonary Consolidation ◽

Depth Analysis ◽

The Right ◽

Rule Out

Abstract A 10-day-old neonate with pulmonary consolidation was referred for echocardiography to rule out CHD. At first glance, the morphology appeared to be a bipartite right ventricle with normal tricuspid and pulmonary valves. In-depth analysis, however, of the images showed a double-chambered right ventricle, in which the inlet and outlet portions of the right ventricle were isolated from the apical component of the right ventricle, which itself communicated with the left ventricle through a ventricular septal defect. There was a normal pulmonary valve and tricuspid annulus.

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Atriogenic Flow Across a Restrictive Subaortic VSD: a Sign of Stiff Left ventricle

International Cardiovascular Forum Journal ◽

10.17987/icfj.v13i0.482 ◽

2018 ◽

Vol 13 ◽

Author(s):

Mohammed Islam ◽

Gabriel Fernandes ◽

Wei Li ◽

Michael Henein

Keyword(s):

Left Ventricle ◽

Ventricular Septal Defect ◽

Right Ventricle ◽

Left Atrial ◽

Septal Defect ◽

Diastolic Pressure ◽

Left Ventricular ◽

Left Ventricular Cavity ◽

Supraventricular Arrhythmia ◽

Atrial Enlargement

Atriogenic Lt-Rt shunt across a ventricular septal defect is an uncommon finding, but reflects a stiff left ventricular cavity with raised end-diastolic pressure. These findings explain the left atrial enlargement and supraventricular arrhythmia. Thus, those shunts should be considered as safety valves to release the raised left sided pressure into the low pressure right ventricle.

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