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Changes of management in a patient with double outlet left ventricle

Published online by Cambridge University Press:  19 August 2008

Omar Galal*
Affiliation:
Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
Liv Hatle
Affiliation:
Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
Zohair Al Halees
Affiliation:
Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
*
Dr. Mohammed Omar Galal, Department of Cardiovascular Diseases (MBC 16), King Faisal Specialist Hospital and Research Centre, PO. Box 3354, Riyadh 11211, Saudi Arabia. Tel: (966–1) 464–7272 ext.: 32056; Fax: (966–1) 442–7482; E-mail: [email protected].

Abstract

Double outlet left ventricle is an extremely rare anomaly. Until recently, the diagnosis was usually established by angiography or at postmortem. There are only a few reports describing the echocar-diographic findings in this lesion, and as far as we know, no report showing the anatomy as well as the velocity and pattern of flow by color Doppler echocardiography. The patient reported here underwent surgery at the age of four years, when an aortic homograft was placed between the right ventricle and the pulmonary trunk. This biventricular repair had to be changed into a Fontan-type procedure, 15 years later since the hypoplastic right ventricle did not grow adequately.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1999

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References

1.Gounton, M, Bozio, A, Rey, C, Sassolas, F, Vaksmann, G, Di Filippo, S. Le ventricule gauche a double issue: une cardiopathie rare et etonnante de diversite. A propos de 7 nouveaus cas. Arch Mai Coeur 1996;89: 553559.Google Scholar
2.Anderson, R, Galbraith, R, Gibson, R, Miller, G. Double outlet left ventricle. Br Heart J 1974;36(6): 554558.CrossRefGoogle ScholarPubMed
3.DeLeon, SY, Ow, EP, Chiemmongkoltip, P, Vitullo, DA, Quinones, JA, Fisher, EA, Bharati, S, Ilbawi, MN, Pifarre, R. Alternatives in biventricular repair of double-outlet left ventricle. Ann Thorac Surg 1995;60: 213216.CrossRefGoogle ScholarPubMed
4.Rebergen, S, Guit, G, de Roos, A. Double outlet left ventricle: Diagnosis with magnetic resonance imaging. Br Heart J 1991;66: 381383.CrossRefGoogle ScholarPubMed
5.Bengur, A, Snider, A, Peters, J, Merida-Asmus, L. Two dimensional echocardiographic features of double outlet left ventricle. J Am Soc Echocardiogr 1990;3: 320325.CrossRefGoogle ScholarPubMed
6.Brandt, P, Calder, A, Barratt-Boyes, B, Neutze, J. Double outlet left ventricle. Morphology, cineangiocardiographic diagnosis and surgical treatment. Am J Cardiol 1976;38(7): 897909.CrossRefGoogle ScholarPubMed
7.Sakakibara, S, Takao, A, Arai, T, Hashimoto, A, Nogi, M. Both great vessels arising from the left ventricle. Bull Heart Inst Jap 1976: 66.Google Scholar