[Double chambered right ventricle in a 59-year-old man]

Surgical experience of double chambered right ventricle in a 59-year-old man was reported. The patient who had been pointed out for his systolic manner without any symptoms was admitted to our hospital because of heart failure. Cardiac catheterization revealed an about 80-mmHg peak-to-peak gradient in the right ventricle cavity with normal pulmonary pressure. Cineangiogram demonstrated double chambered right ventricle with perimembranous ventricular septal defect. Surgical repair with right ventriculotomy was performed in order to release pressure gradient and his symptoms. Right ventricular function after operation was not distorted. It is important to choose the surgical approach (right ventriculotomy or transatrial approach) for release the pressure gradient completely.