Abstract
Double-outlet right ventricle (DORV) accounts for 1–3% of all congenital heart defects. The diagnosis of DORV is generally made by two-dimensional echocardiography. However, given the shortcomings in transthoracic echocardiography to delineate the extent of ventricular septal defect and great artery relationship and coronary arteries in young infants, cardiac CT is increasingly used both in preoperative and postoperative evaluation of DORV. The common indications for cardiac CT in DORV patients include evaluation of the pathway for ventricular septal defect closure and coronary arteries. The preferred cardiac CT technique is prospective gated cardiac CT using modern dual-source multidetector CT scanners; however retrospective gated CT is commonly used for ventricular volume evaluation.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Beegle RD, Mastin ST, Chandran A. Case of double-outlet right ventricle after repair with pulmonary arteriovenous malformations using cardiac CT. J Cardiovasc Comput Tomogr. 2014;8(5):401–3. https://doi.org/10.1016/j.jcct.2014.05.003.
Hoffman JIE, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol. 2002;39(12):1890–900. https://doi.org/10.1016/s0735-1097(02)01886-7.
Villemain O, Bonnet D, Houyel L, Vergnat M, Ladouceur M, Lambert V, Jalal Z, Vouhe P, Belli E. Double-outlet right ventricle with noncommitted ventricular septal defect and 2 adequate ventricles: is anatomical repair advantageous? Semin Thorac Cardiovasc Surg. 2016;28(1):69–77. https://doi.org/10.1053/j.semtcvs.2016.01.007.
Ebadi A, Spicer DE, Backer CL, Fricker FJ, Anderson RH. Double-outlet right ventricle revisited. J Thorac Cardiovasc Surg. 2017;154(2):598–604. https://doi.org/10.1016/j.jtcvs.2017.03.049.
Dydynski PB, Kiper C, Kozik D, Keller BB, Austin E, Holland B. Three-dimensional reconstruction of intracardiac anatomy using CTA and surgical planning for double outlet right ventricle: early experience at a tertiary care congenital heart center. World J Pediatr Congenit Heart Surg. 2016;7(4):467–74. https://doi.org/10.1177/2150135116651399.
Chen S-J, Lin M-T, Liu K-L, Chang C-I, Chen H-Y, Wang J-K, Lee W-J, Tsang Y-M, Li Y-W. Usefulness of 3D reconstructed computed tomography imaging for double outlet right ventricle. J Formos Med Assoc. 2008;107(5):371–80. https://doi.org/10.1016/s0929-6646(08)60102-3.
Bharucha T, Hlavacek AM, Spicer DE, Theocharis P, Anderson RH. How should we diagnose and differentiate hearts with double-outlet right ventricle? Cardiol Young. 2017;27(1):1–15. https://doi.org/10.1017/S1047951116001190.
Dodge-Khatami J, Adebo DA. Evaluation of complex congenital heart disease in infants using low dose cardiac computed tomography. Int J Cardiovasc Imaging. 2021; https://doi.org/10.1007/s10554-020-02118-7.
Bhatla P, Tretter JT, Chikkabyrappa S, Chakravarti S, Mosca RS. Surgical planning for a complex double-outlet right ventricle using 3D printing. Echocardiography. 2017;34(5):802–4. https://doi.org/10.1111/echo.13512.
Goo HW. Coronary artery anomalies on preoperative cardiac CT in children with tetralogy of Fallot or Fallot type of double outlet right ventricle: comparison with surgical findings. Int J Cardiovasc Imaging. 2018;34(12):1997–2009. https://doi.org/10.1007/s10554-018-1422-1.
Goo HW, Park IS, Ko JK, Kim YH, Seo DM, Park JJ. Computed tomography for the diagnosis of congenital heart disease in pediatric and adult patients. Int J Cardiovasc Imaging. 2005;21(2–3):347–65; discussion 367. https://doi.org/10.1007/s10554-004-4015-0.
Leschka S, Oechslin E, Husmann L, Desbiolles L, Marincek B, Genoni M, Pretre R, Jenni R, Wildermuth S, Alkadhi H. Pre- and postoperative evaluation of congenital heart disease in children and adults with 64-section CT. Radiographics. 2007;27(3):829–46. https://doi.org/10.1148/rg.273065713.
Han BK, Lindberg J, Grant K, Schwartz RS, Lesser JR. Accuracy and safety of high pitch computed tomography imaging in young children with complex congenital heart disease. Am J Cardiol. 2011;107(10):1541–6. https://doi.org/10.1016/j.amjcard.2011.01.065.
Schicchi N, Fogante M, Esposto Pirani P, Agliata G, Basile MC, Oliva M, Agostini A, Giovagnoni A. Third-generation dual-source dual-energy CT in pediatric congenital heart disease patients: state-of-the-art. Radiol Med. 2019;124(12):1238–52. https://doi.org/10.1007/s11547-019-01097-7.
Paul JF, Rohnean A, Sigal-Cinqualbre A. Multidetector CT for congenital heart patients: what a paediatric radiologist should know. Pediatr Radiol. 2010;40(6):869–75. https://doi.org/10.1007/s00247-010-1614-x.
Hu XH, Huang GY, Pa M, Li X, Wu L, Liu F, Jia B, Li GP. Multidetector CT angiography and 3D reconstruction in young children with coarctation of the aorta. Pediatr Cardiol. 2008;29(4):726–31. https://doi.org/10.1007/s00246-008-9226-z.
Cheng Z, Wang X, Duan Y, Wu L, Wu D, Chao B, Liu C, Xu Z, Li H, Liang F, Xu J, Chen J. Low-dose prospective ECG-triggering dual-source CT angiography in infants and children with complex congenital heart disease: first experience. Eur Radiol. 2010;20(10):2503–11. https://doi.org/10.1007/s00330-010-1822-7.
Booij R, Dijkshoorn ML, van Straten M, du Plessis FA, Budde RP, Moelker A, Krestin GP, Ouhlous M. Cardiovascular imaging in pediatric patients using dual source CT. J Cardiovasc Comput Tomogr. 2016;10(1):13–21. https://doi.org/10.1016/j.jcct.2015.10.003.
Yim D, Dragulescu A, Ide H, Seed M, Grosse-Wortmann L, van Arsdell G, Yoo SJ. Essential modifiers of double outlet right ventricle: revisit with endocardial surface images and 3-dimensional print models. Circ Cardiovasc Imaging. 2018;11(3):e006891. https://doi.org/10.1161/CIRCIMAGING.117.006891.
Backer CL. Double outlet right ventricle: where are we now? Semin Thorac Cardiovasc Surg. 2016;28(1):79–80. https://doi.org/10.1053/j.semtcvs.2016.03.004.
Lu T, Li J, Hu J, Huang C, Tan L, Wu Q, Wu Z. Biventricular repair of double-outlet right ventricle with noncommitted ventricular septal defect using intraventricular conduit. J Thorac Cardiovasc Surg. 2020;159(6):2397–403. https://doi.org/10.1016/j.jtcvs.2019.07.084.
Barbero-Marcial M, Tanamati C, Atik E, Ebaid M. Intraventricular repair of double-outlet right ventricle with noncommitted ventricular septal defect: advantages of multiple patches. J Thorac Cardiovasc Surg. 1999;118(6):1056–67. https://doi.org/10.1016/s0022-5223(99)70102-9.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Schoeneberg, L., Adebo, D.A. (2021). Double-Outlet Right Ventricle. In: Adebo, D.A. (eds) Pediatric Cardiac CT in Congenital Heart Disease. Springer, Cham. https://doi.org/10.1007/978-3-030-74822-7_17
Download citation
DOI: https://doi.org/10.1007/978-3-030-74822-7_17
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-74821-0
Online ISBN: 978-3-030-74822-7
eBook Packages: MedicineMedicine (R0)