Hostname: page-component-cb9f654ff-qc88w Total loading time: 0 Render date: 2025-08-01T02:48:43.327Z Has data issue: false hasContentIssue false
  • English
  • Français

Prenatal diagnosis of double outlet right ventricle with intact ventricular septum in two foetuses

Part of: Functionally Univentricular Heart Cardiac Morphology

Published online by Cambridge University Press:  24 May 2021

Balaganesh Karmegaraj Open the ORCID record for Balaganesh Karmegaraj [Opens in a new window] ,
Balaji Srimurugan  and
Balu Vaidyanathan Open the ORCID record for Balu Vaidyanathan [Opens in a new window]
Balaganesh Karmegaraj*
Affiliation:
Department of Paediatric Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India
Balaji Srimurugan
Affiliation:
Department of Paediatric Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India
Balu Vaidyanathan
Affiliation:
Department of Paediatric Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India
*
Author for correspondence: Dr B. Karmegaraj, MD, DM Assistant Professor, Department of Paediatric Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala682041, India. Tel: + 91 9746131803; Fax: + 914842802020. E-mail: pedsheartkbg@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

We describe two cases of an unusual variant of double outlet right ventricle with intact ventricular septum diagnosed prenatally and confirmed by foetal autopsy in a case. The first case had mitral valve atresia, slit-like left ventricle, and normally related great arteries. The second case had mitral valve atresia, hypoplastic left ventricle, parallel outflows with an interrupted aortic arch.

Keywords

Foetusdouble outlet right ventricleintact interventricular septumautopsy

Information

Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 12 , December 2021 , pp. 2041 - 2044
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Karmegaraj, B, Kumar, S, Srimurugan, B, Sudhakar, A, Simpson, JM, Vaidyanathan, B. 3D/4D spatiotemporal image correlation (STIC) fetal echocardiography provides incremental benefit in predicting the postnatal surgical approach in double outlet right ventricle. Ultrasound Obstet Gynecol 2020. doi: 10.1002/uog.21988. Online ahead of print.CrossRefGoogle Scholar
Ebadi, A, Spicer, DE, Backer, CL, Fricker, FJ, Anderson, RH. Double-outlet right ventricle revisited. J Thorac Cardiovasc Surg. 2017; 154: 598–604. doi: 10.1016/j.jtcvs.2017.03.049. Epub 2017 Mar 23.CrossRefGoogle ScholarPubMed
Menon, S, Kumar, CJ, Mathew, T, Venkateshwarn, S, Jayakumar, K, Dharan, BS. Double outlet right ventricle with intact ventricular septum: avulsion or exclusion. World J Pediatr Congenital Heart Surg 2016; 7: 220–222. doi: 10.1177/2150135115586813. Epub 2015 Nov 24.CrossRefGoogle ScholarPubMed
Erickson, LK. An approach to the examination of the fetal congenitally Malformed heart at autopsy. J. Fetal Med 2015; 2: 135.CrossRefGoogle Scholar
Anderson, RH, Shirali, G. Sequential segmental analysis. Ann Pediatr Cardiol. 2009; 2: 24–35.CrossRefGoogle ScholarPubMed
Aiello, VD, Spicer, DE, Anderson, RH, Brown, NA, Mohun, TJ. The independence of the infundibular building blocks in the setting of double-outlet right ventricle. Cardiol Young 2017; 27: 825–836. doi: 10.1017/S1047951117000452. PMID: 28555539.CrossRefGoogle ScholarPubMed
L’herminé-Coulomb, A, Houyel, L, Aboura, A, Audibert, F, Dal Soglio, D, Tachdjian, G. Double-outlet right ventricle with absent left ventricle and mitral atresia in a fetus with a deletion 22q12. Prenat Diagn 2004; 24: 708–712.CrossRefGoogle Scholar
Macmahon, HE, Lipa, M. Double outlet right ventricle with intact interventricular septum. Circulation 1964; 30: 745–748.CrossRefGoogle ScholarPubMed
Erikssen, G, Aboulhosn, J, Lin, J, et al. Survival in patients with univentricular hearts: the impact of right versus left ventricular morphology. Open Heart 2018; 5: e000902. doi: 10.1136/openhrt-2018-000902. eCollection 2018.CrossRefGoogle ScholarPubMed
d’Udekem, Y, Iyengar, AJ, Galati, JC, et al. Redefining expectations of long-term survival after the Fontan procedure: twenty-five years of follow-up from the entire population of Australia and New Zealand. Circulation 2014; 130 (11 Suppl 1): S32–S38. doi: 10.1161/CIRCULATIONAHA.113.007764.CrossRefGoogle ScholarPubMed
Patel, CR, Muise, KL, Redline, RW. Double-outlet right ventricle with intact ventricular septum in a foetus with trisomy-18. Cardiol Young 1999; 9: 419–422. doi: 10.1017/s1047951100005230.CrossRefGoogle Scholar
Ainger, LE. Double-outlet right ventricle: intact ventricular septum, mitral stenosis, and blind left ventricle. Am Heart J 1965; 70: 521–525. doi: 10.1016/0002-8703(65)90366-2.CrossRefGoogle ScholarPubMed
Lunel, AA, Oppenheimer-Dekker, A, Bruins, CL, Draulans-Noë, AY. His-Tawara bundle in complete AV block complicating double outlet right ventricle with intact interventricular septum. Br Heart J 1972; 34: 1181–1185. doi: 10.1136/hrt.34.11.1181.CrossRefGoogle ScholarPubMed
Ikemoto, Y, Nogi, S, Teraguchi, M, Imamura, H, Kobayashi, Y. Double-outlet right ventricle with intact ventricular septum. Acta Paediatr Jpn 1997; 39: 233–236. doi: 10.1111/j.1442-200x.1997.tb03589.CrossRefGoogle ScholarPubMed
Troise, DE, Ranieri, L, Arciprete, PM. Surgical repair for double outlet right ventricle and intact ventricular septum. Ann Thorac Surg 2001; 71: 1018–1019. doi: 10.1016/s0003-4975(00)02433-4.CrossRefGoogle ScholarPubMed
Napoleone, CP, Formigari, R, Chiappini, B, Frascaroli, G, Gargiulo, G. Surgical management of double outlet right ventricle with intact ventricular septum. Ann Thorac Surg 2003; 75: 586–587. doi: 10.1016/s0003-4975(02)04310-2.CrossRefGoogle Scholar
Özgür, S, Ceylan, Ö, Doğan, V, Örün, UA. Double outlet right ventricle with intact ventricular septum. Turk Kardiyol Dern Ars 2014; 42: 190–193. doi: 10.5543/tkda.2014.84589.Google ScholarPubMed
Sabarinath, M, Ashok Kumar, CJ, Mathew, T, Venkateshwarn, S, Jayakumar, K, Dharan, BS. Double outlet right ventricle with intact ventricular septum: avulsion or exclusion. World J Pediatr Congenital Heart Surg 2016; 7: 220–222. doi: 10.1177/2150135115586813. Epub 2015 Nov 24.Google Scholar
Subramanian, A, Bharath, AP, Jayaranganath, M. Unguarded left atrioventricular orifice: an unusual cause of hypoplastic left ventricle and double-outlet right ventricle with intact ventricular septum. Ann Pediatr Cardiol 2019; 12: 153–155. doi: 10.4103/apc.APC_124_18.CrossRefGoogle ScholarPubMed