A Woman with Double Chamber Right Ventricle

2021 ◽  
Vol 7 (1) ◽  
pp. 63-67
Author(s):  
Furqon Satria Adi Pradana ◽  
Lucia Kris Dinarti ◽  
Putrika Prastuti Ratna Gharini
Keyword(s):  
Right Ventricle ◽  
Congenital Heart ◽  
Septal Defect ◽  
Heart Defects ◽  
Transoesophageal Echocardiography ◽  
Surgical Closure ◽  
Muscle Band ◽  
The Right ◽  
Double Chamber

Introduction: An additional membrane or muscle band inside right ventricle divides it into two chambers, the proximal and distal one. It is a rare congenital malformation which makes up approximately 0.5-1 per cent of all congenital heart defects. The double chambers right ventricle most often present in children but rarely in adults. Transoesophageal Echocardiography is the most effective tool in diagnosing a DCRV.Case presentation: A 36 years old woman, diagnosed with large ventricular septal defect by transthoracic echocardiography, underwent a TOE to complement the preparation of surgical closure. The TOE finding instead revealed a septum or membrane that divide the right ventricle into two separate chambers, later confirmed by a cardiac computer tomographic scan and cardiac cathetherization. The patient underwent surgery with VSD closure and resection of the septum without complications. Echocardiography paramater became normal albeit still had some septal tissue left in order to limit sudden surge of blood flow into pulmonary artery. Follow up indicate patient has no symptom associated with the surgeryConclusion: The patient was diagnosed with double chamber right ventricle during preparation for surgery by TOE examination. We present this case in order to emphasize the rarity of this congenital heart disease

Echocardiographic Diagnosis of Congenital Membranous Ventricular Septal Aneurysm in the Dog and Cat

2005 ◽  
Vol 41 (4) ◽  
pp. 215-220 ◽  
Author(s):  
William P. Thomas
Keyword(s):  
Ventricular Septal Defect ◽  
Right Ventricle ◽  
Cardiac Dysfunction ◽  
Congenital Heart ◽  
Septal Defect ◽  
Incidental Finding ◽  
Heart Defects ◽  
Thin Membrane ◽  
Echocardiographic Examination ◽  
The Right

Membranous ventricular septal aneurysm was diagnosed by echocardiography in 17 dogs and three cats. The aneurysm appeared as a thin membrane protruding into the right ventricle from the margins of a congenital ventricular septal defect (VSD). The aneurysm was intact in nine dogs and two cats and perforated by a small VSD in eight dogs and one cat. Other congenital heart defects were present in seven dogs. In all animals, the aneurysm was an incidental finding observed during echocardiographic examination, and it did not appear to directly cause any cardiac dysfunction.

scholarly journals Double-Outlet Right Ventricle in a Chianina Calf

Animals ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 318
Author(s):  
Domenico Caivano ◽  
Maria Chiara Marchesi ◽  
Piero Boni ◽  
Noemi Venanzi ◽  
Giovanni Angeli ◽  
...  
Keyword(s):  
Right Ventricle ◽  
Septal Defect ◽  
Heart Defects ◽  
Double Outlet Right Ventricle ◽  
Cardiac Malformation ◽  
Septal Defects ◽  
Congenital Cardiac Malformation ◽  
The Right ◽  
Similar Complex ◽  
Echocardiographic Findings

Congenital heart defects have been occasionally reported in cattle and ventricular septal defect represents the most frequently encountered anomaly. The double-outlet right ventricle is a rare congenital ventriculoarterial malformation reported only in certain cattle breeds. We describe this rare and complex congenital cardiac malformation observed in a 10-day-old male Chianina calf. Clinical examination showed tachycardia, tachypnea, jugular pulses, cyanotic mucous membranes and a right apical systolic murmur. Transthoracic echocardiography revealed severe dilation of the right-sided cardiac chambers with a markedly hypoplastic left ventricle. Both aorta and pulmonary artery leaving the right ventricle in parallel alignment with the tricuspid valve were suggestive of a dual-outlet right ventricle. Interventricular and interatrial septal defects were also visualized. Post-mortem examination confirmed the echocardiographic findings. To the authors’ knowledge, a similar complex congenital cardiac malformation has not been reported in calves of the Chianina breed to date.

Early and late outcomes of surgical repair of double-chambered right ventricle: a single-centre experience

2020 ◽  
Vol 30 (3) ◽  
pp. 409-412
Author(s):  
Murat Surucu ◽  
İlkay Erdoğan ◽  
Birgül Varan ◽  
Murat Özkan ◽  
N. Kürşad Tokel ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Right Ventricle ◽  
Septal Defect ◽  
Surgical Intervention ◽  
Systolic Pressure ◽  
Presenting Symptoms ◽  
Long Term Follow Up ◽  
The Right

AbstractObjective:Double-chambered right ventricle is characterised by division of the outlet portion of the right ventricle by hypertrophy of the septoparietal trabeculations into two parts. We aim to report our experiences regarding the presenting symptoms of double-chambered right ventricle, long-term prognosis, including the recurrence rate and incidence of arrhythmias after surgery.Methods:We retrospectively investigated 89 consecutive patients who were diagnosed to have double-chambered right ventricle and underwent a surgical intervention from 1995 to 2016. The data obtained by echocardiography, cardiac catheterisation, and surgical findings as well as post-operative follow-up, surgical approaches, post-operative morbidity, mortality, and cardiac events were evaluated.Results:Median age at the time of diagnosis was 2 months and mean age at the time of operation was 5.3 years. Concomitant cardiac anomalies were as follows: perimembranous ventricular septal defect (78 patients), atrial septal defect (9 patients), discrete subaortic membrane (32 patients), right aortic arch (3 patients), aortic valve prolapse and/or mild aortic regurgitation (14 patients), and left superior caval vein (2 patients). The mean follow-up period was 4.86 ± 4.6 years. In these patients, mean systolic pressure gradient in the right ventricle by echocardiography before, immediately, and long-term after surgical intervention was 66.3, 11.8, and 10.4 mmHg, respectively. There were no deaths during the long-term follow-up period. Surgical reinterventions were performed for residual ventricular septal defect (2), residual pulmonary stenosis (1), and severe tricuspid insufficiency (1).Conclusion:The surgical outcomes and prognosis of double-chambered right ventricle are favourable, recurrence and fatal arrhythmias are unlikely in long-term follow-up.

scholarly journals Pulmonary ductal coarctation: An entity associated with congenital heart defects involving the right ventricle outflow tract

2021 ◽  
Author(s):  
Relin Vliet ◽  
Lucia J. M. Kroft ◽  
Mark G. Hazekamp ◽  
Arno A. W. Roest ◽  
Roel L. F. Palen
Keyword(s):  
Right Ventricle ◽  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Heart Defects ◽  
Outflow Tract ◽  
The Right

Influence of the introduction of Amplatzer device on the interventional closure of defects within the oval fossa in children

2001 ◽  
Vol 11 (5) ◽  
pp. 521-525 ◽  
Author(s):  
Mahvash Rastegari ◽  
Andrew N. Redington ◽  
Ian D. Sullivan
Keyword(s):  
Postoperative Morbidity ◽  
Septal Defect ◽  
Transcatheter Closure ◽  
Transoesophageal Echocardiography ◽  
Surgical Closure ◽  
Amplatzer Device ◽  
Contemporary Management ◽  
The Impact ◽  
Direct Referral

Since June 1998, we have used an Amplatzer device whenever considered appropriate in patients with isolated defects within the oval fossa. The aim of this study was to define the total cohort of patients with isolated defects in the oval fossa seen at this hospital, so as to assess the impact of this policy on contemporary management. In the two-year period commencing 1st June 1998, 116 patients older than 6 months were seen with an isolated septal defect within the oval fossa. Mean age at closure or last review was 5.8 years, with a range from 0.5 to 20 years. In total, 42 (36%) patients were assigned to surgical closure, 25 (22%) to closure using an Amplatzer device, and 49 (42%) remained under clinical follow up. Direct referral for surgical closure occurred in 24 (21%) patients, in whom transcatheter closure was considered not appropriate after transthoracic echocardiography. Transoesophageal echocardiography was performed in 45 (39%) patients to assess suitability for closure using the Amplatzer device. Of these, 20 (44% of the group undergoing transoesophageal echocardiography) were considered unsuitable for closure in this fashion. Of these, 8 were referred for surgery and 2 with small defects were considered not to require closure. Patients undergoing closure with the device were older than the group referred for surgical closure, having a median age of 7.8 versus 3.6 years, and stayed for a shorter period in hospital. Those closed using the device stayed for 2 days, as opposed to a median of 5 days, with a range from 4 to 10 days for those undergoing surgical closure. Closure was complete as assessed by echocardiography after follow up of 1–3 months in both groups. There were no recognised complications related to insertion of the device, whereas transient postoperative morbidity occurred in 38% of those closed surgically. Insertion of an Amplatzer device was considered to be appropriate in 37% of patients older than 6 months requiring closure of an atrial septal defect in the oval fossa.

scholarly journals Cardiac Septal Defects in Children: Hemodynamics, Clinical Manifestations and Detection

2021 ◽  
Vol 5 (4) ◽  
Author(s):  
Ria Nova ◽  
Sukman Tulus Putra ◽  
Siti Nurmaini ◽  
Radiyati Umi Partan
Keyword(s):  
Clinical Examination ◽  
Congenital Heart ◽  
Septal Defect ◽  
Heart Defects ◽  
Clinical Manifestations ◽  
Ventricular Septal Defects ◽  
Hemodynamic Changes ◽  
Septal Defects ◽  
Cardiac Septal Defects ◽  
The Right

Cardiac septal defect in children is one of the congenital heart defects characterized by atrial septal defects (ASD), ventricular septal defects (VSD) and defects in both atrial and ventricular septum (AVSD). The hemodynamic changes that occur are caused by a left to the right shunt. Differences in location, size of the defect and pulmonary vascular resistance make hemodynamic differences and clinical manifestations between the three types of cardiac septal defects. Detection of cardiac septal defects can be done by clinical examination by listening to the characteristic heart sounds and murmurs for each defect. However, clinical examination alone is often still difficult to determine the type of cardiac septal defect so that several supporting examinations such as photothorax, ECG, echocardiogram and cardiac catheterization need to be done to help establish the diagnosis.

scholarly journals Mouth Preparation Pada Anak Dengan Kelainan Jantung Kongenital Tetralogi of Fallot, Pre-operatif Kardiovaskuler

2007 ◽  
Vol 6 (2) ◽  
pp. 85
Author(s):  
Muhammad Harun Achmad ◽  
Maryanne Susanti
Keyword(s):  
Right Ventricle ◽  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Heart Defects ◽  
Fatal Complication ◽  
Care Clinic ◽  
Heart Defect ◽  
Heart Operation ◽  
The Right ◽  
Fatal Complications

Teeth dimension is the factor influenced the incidence of toothimpaction. The most The congenital figure of the heart defect incidentin several educational hospitals in Indonesia almost reached 9 per1,000 born babies who survive to live (0.8-1.2%). Tetralogi of Fallotwas one of the cyanotic congenital heart defects that were often foundto children. This situation had four forms of the deviation: defect of theventricle septum, overriding aorta, stenosis infundibuler, andhypertrophy of the right ventricle. As in the case of other congenitalheart defect, in Tetralogi Fallot often happened fatal complication suchas endocarditis bacterialis that had tight relationship to the infection inteeth. In dentistry, the treatment for children with cardiovasculardisease needs holistic handling to prevent the occurrence endocarditisbacterialis. This paper discussed the teeth and the mouth conditionsas well as the therapy in two cases of the child with tetralogi of Fallot.Two female patients came to the Special Dental Care clinic, RSHSBandung with the congenital Tetralogi of Fallot heart defect to undergomouth preparation prior to the heart operation in Jakarta. Theconclusion is as in the case of the congenital heart other defectcyanotic, in Tetralogi Fallot fatal complications such as endocarditisbacterialis could happen. Endocarditis bacterialis was caused by the '':bacterial infection in the heart valve or endocardium.

scholarly journals Cardiac Septal Defects in Children: Hemodynamics, Clinical Manifestations and Detection

2021 ◽  
Vol 5 (6) ◽  
pp. 608-613
Author(s):  
Ria Nova ◽  
Sukman Tulus Putra ◽  
Siti Nurmaini ◽  
Radiyati Umi Partan
Keyword(s):  
Clinical Examination ◽  
Congenital Heart ◽  
Septal Defect ◽  
Heart Defects ◽  
Clinical Manifestations ◽  
Ventricular Septal Defects ◽  
Hemodynamic Changes ◽  
Septal Defects ◽  
Cardiac Septal Defects ◽  
The Right

Cardiac septal defect in children is one of the congenital heart defects characterized by atrial septal defects (ASD), ventricular septal defects (VSD) and defects in both atrial and ventricular septum (AVSD). The hemodynamic changes that occur are caused by a left to the right shunt. Differences in location, size of the defect and pulmonary vascular resistance make hemodynamic differences and clinical manifestations between the three types of cardiac septal defects. Detection of cardiac septal defects can be done by clinical examination by listening to the characteristic heart sounds and murmurs for each defect. However, clinical examination alone is often still difficult to determine the type of cardiac septal defect so that several supporting examinations such as photothorax, ECG, echocardiogram and cardiac catheterization need to be done to help establish the diagnosis.

scholarly journals A case of an uncorrected double outlet right ventricle with ventricular septal defect in pregnancy

2019 ◽  
Vol 8 (9) ◽  
pp. 3805
Author(s):  
Kedar M. Tilak ◽  
Uma N. Wankhede
Keyword(s):  
Congenital Heart Disease ◽  
Right Ventricle ◽  
Congenital Heart ◽  
Multidisciplinary Approach ◽  
Septal Defect ◽  
Heart Diseases ◽  
Double Outlet Right Ventricle ◽  
Congenital Heart Diseases ◽  
The Right ◽  
In Pregnancy

Congenital Heart Diseases (CHD) lead to various changes in the normal mechanisms of hemodynamics. Pregnancy in women with CHDs is rare. Double Outlet Right Ventricle (DORV) is a rare disorder, in which both the aorta and the pulmonary artery arise from the right ventricle. We present a case of a thirty-year-old pregnant woman who presented to us with 22 weeks of amenorrhea. She had DORV with VSD, which was undiagnosed till she came to our hospital. Double Outlet Right Ventricle (DORV) is a rare congenital heart disease. Pregnancy in a patient with DORV needs early diagnosis and a stepwise multidisciplinary approach for successful outcomes.

scholarly journals Repair of Aorto-Right Ventricular Tunnel: A Case Report

1970 ◽  
Vol 3 (1) ◽  
pp. 98-100 ◽  
Author(s):  
Naveen Sheikh
Keyword(s):  
Right Ventricular ◽  
Myocardial Protection ◽  
Congenital Heart ◽  
Septal Defect ◽  
Ascending Aorta ◽  
Mattress Suture ◽  
Cold Blood ◽  
The Right ◽  
Cold Blood Cardioplegia

Aorto-ventricular tunnel is a congenital, extracardiac channel which connects the ascending aorta above the sinutubular junction to the cavity of the left, or less commonly, to the right ventricle. Here, I report a successful surgical correction of aorto-right ventricular tunnel with anomalous right coronary artery (RCA) arising from the tunnel in a 42 years old woman diagnosed preoperatively with echocardiography and cardiac catheterization. The operation was performed with cardiopulmonary bypass and hypothermia. Myocardial protection was achieved by antegrade cold blood cardioplegia. The tunnel below the origin of RCA was closed with pericardial patch. Tunnel was closed with mattress suture and running stitches to reduce the diameter and making channel for RCA blood flow. Atrial septal defect was closed by patch. The postoperative course was uneventful except pericardial effusion which was managed conservatively. A follow-up transthoracic echocardiogram demonstrated a securely closed communication without any aortic valve incompetence. Keywords: Congenital heart disease; Aorto- RV Tunnel (ARVT). DOI: 10.3329/cardio.v3i1.6435Cardiovasc. j. 2010; 3(1): 98-100

Sign in / Sign up

Export Citation Format

Share Document