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Double-outlet left ventricle. Echocardiographic diagnosis
L M Lopes1, P I Rangel, A M Soraggi
1Real e Benemérita Sociedade Portuguesa de Beneficência de São Paulo, São Paulo, SP, Brazil.
Arquivos Brasileiros De Cardiologia
|July 13, 2001
Summary
A rare congenital heart defect, double-outlet left ventricle with tricuspid atresia, was diagnosed in an infant. Palliative pulmonary arterial banding led to sustained improvement without invasive procedures.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease
- Echocardiography
Background:
- Double-outlet left ventricle (DOLV) is a rare congenital heart defect.
- Tricuspid atresia and right ventricular hypoplasia are complex associated anomalies.
- Early diagnosis is crucial for appropriate management.
Observation:
- A three-month-old infant presented with fatigue and cyanosis.
- Echocardiography with color-flow imaging revealed DOLV, tricuspid atresia, and hypoplastic right ventricle.
- The infant's clinical presentation indicated significant cardiopulmonary compromise.
Findings:
- Palliative pulmonary arterial banding was performed as a non-invasive intervention.
- The child demonstrated sustained clinical improvement following the procedure.
- Echocardiography confirmed the effectiveness of the palliative banding.
Implications:
- This case highlights the successful use of palliative pulmonary arterial banding for complex congenital heart disease.
- Early diagnosis and timely intervention can significantly improve outcomes in infants with severe cardiac anomalies.
- Further research into less invasive palliative strategies for such conditions is warranted.