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Updated: Aug 6, 2026

Morphological and Functional Assessment of the Right Ventricle Using 3D Echocardiography
Published on: October 28, 2020
[Double chamber right ventricle. About 3 cases]
Sondos Kraiem1, Mohamed Hmem, Selm Longo
1Service de cardiologie de l'hôpital Habib Thameur, Tunis.
Insights
Double chambered right ventricle, a rare congenital heart defect, obstructs blood flow. Diagnosis is typically via echocardiography, with surgery offering good outcomes for infundibular stenosis.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Double chambered right ventricle is a rare congenital anomaly.
- It impedes right ventricular ejection, impacting cardiac function.
Observation:
- Three cases of infundibular stenosis with a normal interventricular septum are presented.
- Clinical findings included systolic murmurs and electrocardiographic evidence of right ventricular hypertrophy.
Findings:
- Echocardiography and hemodynamic studies confirmed the diagnosis, revealing trans-stenotic gradients of 72, 80, and 80 mmHg.
- All three patients underwent successful surgical intervention with favorable postoperative recovery.
Implications:
- These cases highlight the importance of recognizing the clinical and echocardiographic features of pure infundibular stenosis.
- Understanding these particularities is crucial for determining appropriate treatment and prognosis in affected individuals.
Abstract:
The double chambered right ventricle is a rare congenital abnormality. It creates an obstacle for the right ventricular ejection. The cardiac ultra sonography examination allows the diagnosis in most majority of cases. The angiography is performed in difficult cases. We report 3 cases of infundibular stenosis with normal interventricular septum. The diagnosis was suspected for the 3 cases by the constellation of clinical findings pointing to systolic murmur over the precordium, and the electrocardiography showing right ventricular hypertrophy. It is confirmed by the echocardiogram and the hemodynamic exploration with a trans stenotic gradient evaluated at 72,80 and 80mmHg. The 3 patients underwent surgery and had all good post operative follow up. These 3 observations allow us to recall the epidemiological, embryological, clinical and echocardiographic particularities of pure infundibular stenosis and to determin the adequate treatment and the prognosis.
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