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Early and late outcomes of surgical repair of double-chambered right ventricle: a single-centre experience

Published online by Cambridge University Press:  17 February 2020

Murat Surucu Open the ORCID record for Murat Surucu [Opens in a new window] ,
İlkay Erdoğan ,
Birgül Varan ,
Murat Özkan ,
N. Kürşad Tokel  and
Sait Aşlamacı
Murat Surucu*
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences, Diyarbakır Gazi Yasargil Training and Research Hospital, Diyarbakır, Turkey
İlkay Erdoğan
Affiliation:
Department of Pediatric Cardiology, Faculty of Medicine, University of Başkent, Ankara, Turkey
Birgül Varan
Affiliation:
Department of Pediatric Cardiology, Faculty of Medicine, University of Başkent, Ankara, Turkey
Murat Özkan
Affiliation:
Department of Cardiovascular Surgery, Faculty of Medicine, Başkent University, Ankara, Turkey
N. Kürşad Tokel
Affiliation:
Department of Pediatric Cardiology, Faculty of Medicine, University of Başkent, Ankara, Turkey
Sait Aşlamacı
Affiliation:
Department of Cardiovascular Surgery, Faculty of Medicine, Başkent University, Ankara, Turkey
*
Author for correspondence: M. Surucu, Department of Pediatric Cardiology, University of Health Sciences, Diyarbakır Gazi Yasargil Training and Research Hospital, Diyarbakır21003, Turkey. Tel: +90 507 055 80 12. E-mail: [email protected]
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Abstract

Objective:

Double-chambered right ventricle is characterised by division of the outlet portion of the right ventricle by hypertrophy of the septoparietal trabeculations into two parts. We aim to report our experiences regarding the presenting symptoms of double-chambered right ventricle, long-term prognosis, including the recurrence rate and incidence of arrhythmias after surgery.

Methods:

We retrospectively investigated 89 consecutive patients who were diagnosed to have double-chambered right ventricle and underwent a surgical intervention from 1995 to 2016. The data obtained by echocardiography, cardiac catheterisation, and surgical findings as well as post-operative follow-up, surgical approaches, post-operative morbidity, mortality, and cardiac events were evaluated.

Results:

Median age at the time of diagnosis was 2 months and mean age at the time of operation was 5.3 years. Concomitant cardiac anomalies were as follows: perimembranous ventricular septal defect (78 patients), atrial septal defect (9 patients), discrete subaortic membrane (32 patients), right aortic arch (3 patients), aortic valve prolapse and/or mild aortic regurgitation (14 patients), and left superior caval vein (2 patients). The mean follow-up period was 4.86 ± 4.6 years. In these patients, mean systolic pressure gradient in the right ventricle by echocardiography before, immediately, and long-term after surgical intervention was 66.3, 11.8, and 10.4 mmHg, respectively. There were no deaths during the long-term follow-up period. Surgical reinterventions were performed for residual ventricular septal defect (2), residual pulmonary stenosis (1), and severe tricuspid insufficiency (1).

Conclusion:

The surgical outcomes and prognosis of double-chambered right ventricle are favourable, recurrence and fatal arrhythmias are unlikely in long-term follow-up.

Keywords

Double-chambered right ventricleventricular septal defectmuscle bandadultCHD
Type
Original Article
Information
Cardiology in the Young , Volume 30 , Issue 3 , March 2020 , pp. 409 - 412
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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Footnotes

*

The article has been presented to 7th World Congress of Pediatric Cardiology & Cardiac Surgery in Barcelona.

References

Loukas, M, Housman, B, Blaak, C, Kralovic, S, Tubbs, RS, Anderson, RH.Double-chambered right ventricle: a review. Cardiovasc Pathol 2013; 22(6): 417–423. doi: 10.1016/j.carpath.2013.03.004.CrossRefGoogle ScholarPubMed
Alva, C, Ho, SY, Lincoln, CR, Rigby, ML, Wright, A, Anderson, RH.The nature of the obstructive muscular bundles in double-chambered right ventricle. J Thorac Cardiovasc Surg 1999; 117 (6): 1180–1189.CrossRefGoogle ScholarPubMed
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(4): 776–80.CrossRefGoogle Scholar
Hoffman, P, Wójcik, AW, Rózański, J, et al.The role of echocardiography in diagnosing double chambered right ventricle in adults. Heart 2004; 90: 789–793.CrossRefGoogle ScholarPubMed
Işık, O, Akyüz, M, Ayık, MF, Atay, Y.Late development of double-chambered right ventricle after repair of a ventricular septal defect. Turk Kardiyol Dern Ars 2015; 43(7): 640–643. doi: 10.5543/tkda.2015.50870.Google ScholarPubMed
Sherif, M, David, JP, Nanette, A, et al.Double chambered right ventricle with ventricular septal defect in adults: case series and review of the literature. J Cardiovasc Ultrasound 2015; 23(1): 48–51. doi: 10.4250/jcu.2015.23.1.48.Google Scholar
Freedom, RM, Yoo, SJ, Mikailian, H, Williams, WG.The natural and modified history of congenital heart disease. New York, USA: Wiley-Blackwell, 2004.Google Scholar
Barik, R.Role of echocardiograghy in treating a case of double chamber right ventricle with delayed presentation. J Cardiovasc Echography 2017; 27: 10–3.CrossRefGoogle ScholarPubMed
Penkoske, PA, Duncan, N, Collins-Nakai, RL.Surgical repair of double-chambered right ventricle with or without ventriculotomy. J Thorac Cardiovasc Surg 1987; 93: 385–393.CrossRefGoogle ScholarPubMed
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(5): 1520–1522.CrossRefGoogle ScholarPubMed
Wang, JK, Wu, MH, Chang, CI, et al.Malalignment-type ventricular septal defect in double-chambered right ventricle. Am J Cardiol 1996; 77(10): 839–842.CrossRefGoogle ScholarPubMed