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Updated: Sep 20, 2025
08:04
Murine Fetal Echocardiography
Published on: February 15, 2013
17.5K
Double-Outlet Left Ventricle With Leftward Anterior Aorta in Infants
Jacek Kuźma1, Michał Buczyński1, Mohamed Sameh Emam2
1Department of Cardiothoracic Surgery and Transplantology, Medical University of Warsaw, Warsaw, Poland.
JACC. Case Reports
|May 23, 2025
Summary
Double-outlet left ventricle (DOLV) is a rare heart defect. This case series highlights the importance of advanced imaging for complex DOLV cases with a leftward anterior aorta.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Double-outlet left ventricle (DOLV) is a rare conotruncal anomaly where great arteries arise from the left ventricle.
- Considered an embryologic enigma, DOLV presents heterogeneously and can be diagnosed via echocardiography.
Observation:
- A case series of 3 newborns with DOLV and a leftward anterior aorta is presented.
- These neonates exhibited hypoxia and cardiac compromise, necessitating urgent interventions.
Findings:
- The cases illustrate DOLV variability and underscore the necessity of multimodality imaging.
- Echocardiography, computed tomography, and cardiac catheterization are crucial for diagnosis and management.
Implications:
- Precise visualization of complex coexisting heart defects is vital for surgical or interventional planning in DOLV.
- Accurate imaging guides decisions regarding single vs. biventricular repair strategies.
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