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Rajiah P, MacNamara J, Chaturvedi A, Ashwath R, Fulton NL, Goerne H. Bands in the Heart: Multimodality Imaging Review. Radiographics 2019; 39:1238-1263. [DOI: 10.1148/rg.2019180176] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
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Kokotsakis J, Rouska EG, Harling L, Ashrafian H, Anagnostakou V, Charitos C, Athanasiou T. Right ventricular outflow tract obstruction caused by double-chambered right ventricle presenting in adulthood. Tex Heart Inst J 2014; 41:425-8. [PMID: 25120399 DOI: 10.14503/thij-13-3398] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Congenital heart diseases that cause obstruction of the right ventricular outflow tract are often difficult to diagnose. We report the case of a 49-year-old man who presented with long-standing shortness of breath on exertion. Imaging revealed right ventricular outflow tract obstruction caused by a double-chambered right ventricle, and he was referred for surgical correction. This case emphasizes both the detailed perioperative evaluation that is needed when diagnosing adults who present with manifestations of congenital heart disease and a method of successful surgical correction that resulted in symptom resolution.
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Affiliation(s)
- John Kokotsakis
- Second Departments of Cardiac Surgery (Drs. Anagnostakou, Charitos,and Kokotsakis) and Cardiology (Dr. Rouska), Evangelismos General Hospital, 10376 Athens, Greece; and Department of Surgery and Cancer (Drs. Ashrafian, Athanasiou, and Harling), Imperial College London, London W2 1NY, United Kingdom
| | - Efthymia G Rouska
- Second Departments of Cardiac Surgery (Drs. Anagnostakou, Charitos,and Kokotsakis) and Cardiology (Dr. Rouska), Evangelismos General Hospital, 10376 Athens, Greece; and Department of Surgery and Cancer (Drs. Ashrafian, Athanasiou, and Harling), Imperial College London, London W2 1NY, United Kingdom
| | - Leanne Harling
- Second Departments of Cardiac Surgery (Drs. Anagnostakou, Charitos,and Kokotsakis) and Cardiology (Dr. Rouska), Evangelismos General Hospital, 10376 Athens, Greece; and Department of Surgery and Cancer (Drs. Ashrafian, Athanasiou, and Harling), Imperial College London, London W2 1NY, United Kingdom
| | - Hutan Ashrafian
- Second Departments of Cardiac Surgery (Drs. Anagnostakou, Charitos,and Kokotsakis) and Cardiology (Dr. Rouska), Evangelismos General Hospital, 10376 Athens, Greece; and Department of Surgery and Cancer (Drs. Ashrafian, Athanasiou, and Harling), Imperial College London, London W2 1NY, United Kingdom
| | - Vania Anagnostakou
- Second Departments of Cardiac Surgery (Drs. Anagnostakou, Charitos,and Kokotsakis) and Cardiology (Dr. Rouska), Evangelismos General Hospital, 10376 Athens, Greece; and Department of Surgery and Cancer (Drs. Ashrafian, Athanasiou, and Harling), Imperial College London, London W2 1NY, United Kingdom
| | - Christos Charitos
- Second Departments of Cardiac Surgery (Drs. Anagnostakou, Charitos,and Kokotsakis) and Cardiology (Dr. Rouska), Evangelismos General Hospital, 10376 Athens, Greece; and Department of Surgery and Cancer (Drs. Ashrafian, Athanasiou, and Harling), Imperial College London, London W2 1NY, United Kingdom
| | - Thanos Athanasiou
- Second Departments of Cardiac Surgery (Drs. Anagnostakou, Charitos,and Kokotsakis) and Cardiology (Dr. Rouska), Evangelismos General Hospital, 10376 Athens, Greece; and Department of Surgery and Cancer (Drs. Ashrafian, Athanasiou, and Harling), Imperial College London, London W2 1NY, United Kingdom
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Rangel I, Vasconcelos M, Cruz C, Madureira AJ, Maciel MJ. Added value of cardiac magnetic resonance in a case of multiple congenital abnormalities. J Cardiol Cases 2014; 9:143-144. [DOI: 10.1016/j.jccase.2013.12.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2013] [Revised: 12/04/2013] [Accepted: 12/12/2013] [Indexed: 10/25/2022] Open
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Loukas M, Housman B, Blaak C, Kralovic S, Tubbs RS, Anderson RH. Double-chambered right ventricle: a review. Cardiovasc Pathol 2013; 22:417-23. [PMID: 23701985 DOI: 10.1016/j.carpath.2013.03.004] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2012] [Revised: 03/16/2013] [Accepted: 03/18/2013] [Indexed: 11/19/2022] Open
Abstract
A double-chambered right ventricle is a rare heart defect in which the right ventricle is separated into a high-pressure proximal and low-pressure distal chamber. This defect is considered to be congenital and typically presents in infancy or childhood but has been reported to present rarely in adults. It can be caused by the presence of anomalous muscle tissue, hypertrophy of the endogenous trabecular bands, or an aberrant moderator band; all of which will typically result in progressive obstruction of the outflow tract. In this paper, we will discuss the general anatomy of the right ventricle, the relevant embryology of the heart, and the presentation, diagnosis, and treatment of a double-chambered right ventricle.
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Affiliation(s)
- Marios Loukas
- Department of Anatomical Sciences, School of Medicine, St George's University, Grenada, West Indies.
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Otto RK, Ferguson MR. Right ventricular apical sequestration: demonstration of a rare variant of double-chambered right ventricle with MRI. Pediatr Radiol 2013; 43:634-6. [PMID: 23052731 DOI: 10.1007/s00247-012-2525-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2012] [Revised: 08/12/2012] [Accepted: 08/13/2012] [Indexed: 11/29/2022]
Abstract
A 15-year-old boy sustained cardiac arrest and was ultimately found to have imaging characteristics consistent with a right ventricular apical sequestration, a sub-variety of double-chambered right ventricle. This is a unique report demonstrating the MRI findings of this rare variation.
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Affiliation(s)
- Randolph K Otto
- Department of Radiology, Seattle Children's Hospital, University of Washington, 4800 Sand Point Way NE, Seattle, WA 98105, USA.
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Takigawa M, Nakatani S, Hashimura K, Kagisaki K, Kanzaki S, Arakaki Y, Yoshida Y, Hirayama H. An elderly case of right ventricular outflow obstruction precisely diagnosed and successfully treated with surgical repair. Intern Med 2010; 49:563-7. [PMID: 20228591 DOI: 10.2169/internalmedicine.49.2826] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Congenital diseases causing an obstruction of the right ventricular outflow are difficult to precisely diagnose, especially in elderly patients. Here, we describe a 76-year-old woman who presented to our hospital with shortness of breath on exertion and was finally diagnosed as infundibular pulmonary stenosis by multiple modalities. Surgery was successfully performed and the symptom was relieved. This case underscored the usefulness of multiple modalities for the precise assessment of the right ventricular outflow obstruction and the effectiveness of surgery even in elderly patients with infundibular pulmonary stenosis.
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Affiliation(s)
- Masateru Takigawa
- Division of Cardiology, Department of Internal Medicine, National Cardiovascular Center, Suita
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