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Double-chambered right ventricle.

W F Simpson, R M Sade, F A Crawford

    The Annals of Thoracic Surgery
    |July 1, 1987
    PubMed
    Summary
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    Approximately 10% of patients with ventricular septal defects (VSD) also have double-chambered right ventricles (DCRV). Early diagnosis and surgical correction of both VSD and DCRV lead to excellent long-term outcomes.

    Area of Science:

    • Cardiology
    • Pediatric Cardiac Surgery
    • Congenital Heart Disease

    Background:

    • Ventricular septal defect (VSD) is a common congenital heart anomaly.
    • Double-chambered right ventricle (DCRV) is a rare condition that can be associated with VSD.
    • Accurate diagnosis and surgical management are crucial for favorable outcomes.

    Purpose of the Study:

    • To determine the incidence of DCRV in patients undergoing VSD correction.
    • To evaluate the diagnostic methods for DCRV.
    • To assess the surgical outcomes for combined VSD and DCRV repair.

    Main Methods:

    • Retrospective review of 279 patients undergoing VSD correction between 1972 and 1986.
    • Analysis of diagnostic data including two-dimensional echocardiography and cardiac catheterization.

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  • Surgical procedures involved VSD closure and resection of anomalous muscle bundles.
  • Main Results:

    • Thirty patients (10.8%) had concomitant DCRV.
    • Two-dimensional echocardiography, particularly with subcostal views, improved DCRV diagnosis.
    • All patients survived surgery with excellent long-term results and significant reduction in right ventricular pressure.

    Conclusions:

    • DCRV is present in about 10% of VSD patients.
    • Thorough preoperative evaluation using echocardiography and catheterization is essential for diagnosing DCRV.
    • Intraoperative anatomical assessment is critical to avoid missing DCRV, especially with current surgical approaches.