Abstract
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Double-chambered right ventricle (DCRV) occurs in approximately 1% of patients with congenital heart disease. The right ventricle (RV) is divided by anomalous muscle bundles into a higher-pressure proximal chamber and lower-pressure distal chamber. The physiology is defined by right ventricular pressure overload of the RV inflow chamber. Depending on the degree of obstruction, the clinical course varies significantly in severity and clinical presentation.
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Abbreviations
- ACC:
-
American College of Cardiology
- AHA:
-
American Heart Association
- ASD:
-
Atrial septal defect
- DCRV:
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Double-chamber right ventricle
- MRI:
-
Magnetic resonance imaging
- RV:
-
Right ventricle
- RVSP:
-
Right ventricular systolic pressure
- TEE:
-
Transesophageal echocardiography
- TR:
-
Tricuspid regurgitation
- TTE:
-
Transthoracic echocardiography
- VSD:
-
Ventricular septal defect
- WHO:
-
World Health Organization
References
Singh MN, Mcelhinney DB. Double-chambered right ventricle. In: Gatzoulis MA, Webb GD, EFD P, editors. Diagnosis and management of adult congenital heart disease. 2nd ed. Philadelphia, PA: Elsevier; 2011. p. 308–13.
Peacock TB (1866) On malformations of the human heart, etc: with original cases and illustrations. John Churchill and Sons, London.
Keith A. The Hunterian lectures on malformations of the heart. Lancet. 1909;174:359–63.
Pongiglione G, Freedom RM, Cook D, Rowe RD. Mechanism of acquired right ventricular outflow tract obstruction in patients with ventricular septal defect: an angiocardiographic study. Am J Cardiol. 1982;50:776–80.
Wong PC, Sanders SP, Jonas RA, et al. Pulmonary valve-moderator band distance and association with development of double-chambered right ventricle. Am J Cardiol. 1991;68:1681–6.
Alva C, Ho SY, Lincoln CR, Rigby ML, Wright A, Anderson RH. The nature of obstructive muscular bundles in double-chambered right ventricle. J Thorac Cardiovasc Surg. 1999;117:1180–9.
Oliver JM, Garrido A, Gonzalez A, et al. Rapid progression of midventricular obstruction in adults with double-chambered right ventricle. J Thorac Cardiovasc Surg. 2003;126:711–7.
Park JI, Kim YH, Lee K, Park HK, Park CB. Isolated double-chambered right ventricle presenting in adulthood. Int J Cardiol. 2007;121:e25–7.
Hoffman P, Wojcik AW, Rozanski J, et al. The role of echocardiography in diagnosing double chambered right ventricle in adults. Heart. 2004;90:789–93.
Moran AM, Hornberger LK, Jonas RA, Keane JF. Development of a double-chambered right ventricle after repair of tetralogy of Fallot. J Am Coll Cardiol. 1998;31:1127–33.
Hachiro Y, Takagi N, Koyanagi T, Morikawa M, Abe T. Repair of double-chambered right ventricle: surgical results and long-term follow-up. Ann Thorac Surg. 2001;72:1520–2.
Goitein KJ, Neches WH, Park SC, Mathews RA, Lenox CC, Zuberbuhler JR. Electrocardiogram in double chambered right ventricle. Am J Cardiol. 1980;45:604–8.
Defaria Yeh D, King ME. Congenital heart disease in the adult: what should the adult cardiologist know? Curr Cardiol Rep. 2015;17:25–40.
Warnes CA, Williams RG, Bashore TM, et al. ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease). Circulation. 2008;118:e714–833.
Amano M, Izumi C, Hayama Y, et al. Surgical outcomes and postoperative prognosis beyond 10 years for double-chambered right ventricle. Am J Cardiol. 2015;116:1431–5.
Chandrashekhar YS, Anand IS, Wahi PL. Balloon dilatation of double-chambered right ventricle. Am Heart J. 1990;120:1234–6.
Park SJ, Lee CW, Hong MK, Song JK, Park SW, Kim JJ. Transcoronary alcohol ablation of infundibular hypertrophy in patients with idiopathic infundibular pulmonic stenosis. Am J Cardiol. 1997;80:1514–6.
Alvarez M, Tercedor L, Lozano JM, Azpitarte J. Sustained monomorphic ventricular tachycardia associated with unrepaired double-chambered right ventricle. Europace. 2006;8:901–3.
Matsuo S, Sato Y, Nakae I, Oka Y, Horie M. Cardioverter defibrillator implantation in a patient with double chambered right ventricle. Int J Cardiovasc Imaging. 2007;23:459–62.
Selvaraj RJ, Gobu P, Ashida T, George G, Balachander J. Ventricular tachycardia in repaired double chambered right ventricle – identification of the substrate and successful ablation. Indian Pacing Electrophysiol J. 2012;12:27–31.
Murthy S, Lui G, Raiszadeh F, Boxt L, Taub C. Not all obstructive cardiac lesions are created equal: double-chamber right ventricle in pregnancy. Echocardiography. 2012;29:E197–200.
Canobbio MM, Warnes CA, Aboulhosn J, et al. Management of pregnancy in patients with complex congenital heart disease: a scientific statement for healthcare professionals from the American Heart Association. Circulation. 2017;135:e50–87.
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Valle, C. (2018). Double-Chambered Right Ventricle (DCRV). In: DeFaria Yeh, D., Bhatt, A. (eds) Adult Congenital Heart Disease in Clinical Practice. In Clinical Practice. Springer, Cham. https://doi.org/10.1007/978-3-319-67420-9_21
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DOI: https://doi.org/10.1007/978-3-319-67420-9_21
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