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Double outlet right ventricle demonstrated by multislice computed tomography.
International Journal of Cardiology
|December 1, 2006
Summary
A 60-year-old male with a heart murmur was diagnosed with double chamber right ventricle (RV). Advanced imaging revealed significant RV outflow tract obstruction due to hypertrophic muscle bundles.
Area of Science:
- Cardiology
- Radiology
- Medical Imaging
Background:
- Double chamber right ventricle (RV) is a rare congenital anomaly.
- Early diagnosis and management are crucial for preventing complications.
Observation:
- A 60-year-old male presented with an abnormal systolic heart murmur.
- Transthoracic echocardiogram showed right ventricular hypertrophy and an abnormal jet in the RV outflow tract.
Findings:
- RV catheterization revealed a significant pressure gradient between the RV and pulmonary artery.
- ECG-gated multislice CT demonstrated RV myocardial hypertrophy, hypertrophic moderator band, and anomalous muscle bundles causing severe RV outflow tract stenosis.
Implications:
- This case highlights the utility of advanced imaging in diagnosing complex RV anomalies.
- Accurate identification of RV outflow tract obstruction is vital for appropriate patient management and surgical planning.
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