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Occult double RV physiology complicating VSD repair
Wendy Schaffer1, Salvatore Cavaleri, Lawrence Attai
1Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, New York, USA.
Insights
Double-chamber right ventricle, a rare congenital anomaly, was found to be significant in an adult patient experiencing cardiogenic shock. This case highlights the importance of recognizing DCRV in adult cardiac conditions.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Cardiac Surgery
Background:
- Double-chamber right ventricle (DCRV) is a rare congenital heart anomaly typically diagnosed in pediatric patients.
- DCRV results from the partitioning of the right ventricle by prominent muscular bands.
- Its clinical significance in adults, particularly post-cardiac surgery, is infrequently reported.
Observation:
- This report details a case of an adult patient presenting with postoperative cardiogenic shock following ventricular septal defect repair.
- A previously undiagnosed DCRV was identified as a contributing factor to the patient's critical condition.
- The prominent muscle bundles characteristic of DCRV were found to significantly impact right ventricular function.
Findings:
- The undiagnosed DCRV presented a significant clinical challenge in an adult cardiac surgery patient.
- The anomaly contributed to the patient's cardiogenic shock, complicating postoperative recovery.
- This case underscores the potential for DCRV to manifest clinically in adulthood.
Implications:
- Recognizing DCRV is crucial for accurate diagnosis and management of complex adult cardiac conditions.
- Understanding DCRV's impact on hemodynamics is essential for surgical planning and postoperative care.
- This case expands the understanding of DCRV's clinical presentation and significance in the adult population.
Abstract:
Double-chamber right ventricle (DCRV) is an uncommon congenital abnormality usually described in children. It occurs due to partitioning of the right ventricle by prominent muscle bundles. In this case report, we describe an adult in cardiogenic shock postoperatively from repair of a ventricular septal defect in whom a previously undiagnosed DCRV was found to be clinically significant.
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