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Author Spotlight: Advantages of Pressure-Volume Loop Measurement Method in Cardiovascular Research
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Double-outlet left ventricle: A rare case.

Ashok Sunder1, Bijaya Mohanty1, Manoj Kumar Sahoo2

  • 1Department of Medicine, Tata Main Hospital, Jamshedpur, Jharkhand, India.

Journal of Family Medicine and Primary Care
|June 15, 2019
PubMed
Summary
This summary is machine-generated.

Double-outlet left ventricle (DOLV) is a rare congenital heart defect. A 25-year-old male with DOLV, pulmonary stenosis, and patent ductus arteriosus recovered from hemoptysis with standard treatment.

Keywords:
Clubbingdouble-outlet left ventriclehemoptysis

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Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Congenital Heart Disease

Background:

  • Double-outlet left ventricle (DOLV) is a rare congenital heart malformation with significant associated mortality.
  • Patients with DOLV often experience complications like heart failure, myocardial infarction, and aortic thrombosis.
  • Surgical intervention offers a 5-year survival rate of 70%-75%, but residual anomalies are common.

Observation:

  • A 25-year-old male diagnosed with DOLV, pulmonary stenosis, and patent ductus arteriosus presented with hemoptysis.
  • The hemoptysis was attributed to a concurrent respiratory tract infection.
  • The patient received standard medical therapy for the infection.

Findings:

  • The patient's hemoptysis resolved completely following standard treatment for the respiratory tract infection.
  • This case highlights the importance of considering non-cardiac causes for presenting symptoms in patients with complex congenital heart disease.
  • Successful management of acute symptoms, even in the presence of underlying cardiac anomalies, is achievable.

Implications:

  • This case underscores the need for comprehensive diagnostic evaluation in patients with DOLV, considering both cardiac and non-cardiac etiologies for symptoms.
  • Effective management of intercurrent illnesses can lead to favorable outcomes in individuals with complex congenital heart defects.
  • Further research into the long-term management strategies for DOLV patients presenting with diverse clinical scenarios is warranted.