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Published on: April 27, 2019
Double-chambered right ventricle in an adult patient
V G Kalaria1, A Mendelsohn, J Peterson
1Cardiology Unit, Department of Medicine and Pediatricc Cardiology , University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642, USA. Vijay_kalaria@URMC.Rochester.edu
Insights
A rare case of double-chambered right ventricle (DCRV) was diagnosed in a 65-year-old man during cardiac catheterization. This adult presentation of DCRV is exceptionally uncommon, highlighting diagnostic challenges in older patients.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Adult Congenital Heart Disease
Background:
- Adult congenital heart disease diagnosis presents unique challenges.
- Double-chambered right ventricle (DCRV) is a rare congenital anomaly typically diagnosed in childhood.
- Cardiac catheterization and coronary angiography are crucial diagnostic tools for evaluating complex cardiac conditions.
Observation:
- A 65-year-old male patient underwent cardiac catheterization for ventricular septal defect evaluation.
- During the procedure, an unexpected diagnosis of double-chambered right ventricle (DCRV) was made.
- The patient's presentation with DCRV in adulthood is highly unusual.
Findings:
- The diagnostic workup revealed a rare case of double-chambered right ventricle (DCRV) in an adult male.
- Coronary angiography and heart catheterization confirmed the presence of DCRV.
- The patient's age at diagnosis underscores the rarity of this condition in the adult population.
Implications:
- This case highlights the importance of considering rare congenital heart anomalies in adult diagnoses.
- Delayed diagnosis of DCRV can have significant implications for patient management and long-term outcomes.
- Further research into adult congenital heart disease presentations is warranted to improve diagnostic strategies.
Abstract:
A 65-year-old male was referred for to our facility for right and left heart catheterization and coronary angiography for evaluation of a ventricular septal defect and to rule out significant coronary artery disease. During the procedure, the patient was diagnosed with a double-chambered right ventricle (DCRV). Most DCRV cases are diagnosed at a young age; presentation in an adult is extremely rare.
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