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Related Experiment Videos

Double inlet left ventricle.

Himeshkumar Vyas1, Donald J Hagler

  • 1Division of Pediatric Cardiology and Cardiovascular Diseases, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA.

Current Treatment Options in Cardiovascular Medicine
|September 28, 2007
PubMed
Summary
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Double inlet left ventricle, a heart defect, is increasingly manageable with modern care, allowing most patients to lead active lives. However, some individuals still face complex medical challenges requiring ongoing attention.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease
  • Cardiac Surgery

Background:

  • Double inlet left ventricle (DILV) is a common congenital heart defect characterized by a single ventricle receiving systemic and pulmonary venous return.
  • Clinical presentation varies significantly due to associated cardiac anomalies and great artery arrangements.
  • Current management strategies focus on staged surgical palliation, aiming for Fontan circulation.

Purpose of the Study:

  • To review the current understanding and management of double inlet left ventricle.
  • To highlight improvements in outcomes and quality of life for affected individuals.
  • To identify persistent challenges in the care of patients with DILV.

Main Methods:

  • Review of recent advancements in noninvasive diagnostic techniques.

Related Experiment Videos

  • Analysis of surgical and postoperative care improvements.
  • Evaluation of long-term outcomes and quality of life.

    • Main Results:

    • Significant improvements in surgical and postoperative outcomes over the past decade.
    • Most patients achieve a good quality of life, participating in school, recreation, and employment.
    • Persistent complications include arrhythmias, ventricular failure, atrioventricular valve insufficiency, subaortic obstruction, protein-losing enteropathy, and plastic bronchitis.

    Conclusions:

    • Advances in medical and surgical care have substantially improved outcomes for patients with double inlet left ventricle.
    • While many patients thrive, a subset continues to experience complex medical issues requiring specialized management.
    • Ongoing research and clinical vigilance are crucial for addressing the remaining challenges in DILV care.