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Double chambered ventricles: A retrospective clinicopathological study

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Abstract

Introduction

Double chambered ventricle is a rare congenital cardiac anomaly, where the ventricular chamber is wholly or partially partitioned usually by abnormal muscular ridges. Double chambered right ventricle (DCRV) is more common than double chambered left ventricle (DCLV).

Methods

A retrospective observational morphological study of 31 autopsied hearts during a 16-year period highlighted the varied clinical presentations of this pathology and the associated per-operative problems.

Results

DCRV was found to exist not only with simple cardiac pathologies such as ventricular septal defect and tetralogy of Fallot, but also more complex pathologies such as transposition of great arteries, double outlet right ventricle, left atrial isomerism, and Ebsteins anomaly of tricuspid valve. Double chambered left ventricle in our series was an associated asymptomatic anomaly.

Conclusions

Closure of the ventricular septal defect may result in isolated DCRV causing proximal right ventricular (RV) hypertension. Postoperative RV dysfunction may compound the ill effects of missed DCRV, RV hypertension and pulmonary hypertension, if any. Double chambered left ventricle may present as an associated asymptomatic anomaly.

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References

  1. Rowland TW, Rosenthal A, Castaneda AR. Double chambered Right ventricle experience with 17 cases. Am Heart Journal 1975; 89: 455–462.

    Article  CAS  Google Scholar 

  2. 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: 1180–1189.

    Article  PubMed  CAS  Google Scholar 

  3. Lucas RV Jr, Varco RL, Lillehei CW, Adams P Jr, Anderson RC, Edwards JE. Anomalous muscle bundle of the rightventricle. Hemodynamic consequences and surgical consideration. Circulation 1962; 25: 443–455.

    PubMed  Google Scholar 

  4. Forster JW, Humphries JO. Right ventricular anomalous muscle bundles. Clinical and laboratory presentation and natural history. Circulation 1971; 43: 115–127.

    PubMed  CAS  Google Scholar 

  5. Eltohami EA, Hajar HA, Folger GM Jr. Double chambered right ventricle and Down’s Syndrome: a proposed new association. Angiology 1994; 45: 119–123.

    Article  PubMed  CAS  Google Scholar 

  6. Ozkutlu S, Cil E, Pasaoglu I, Saraclar M. Noonansyndrome with double — chambered right ventricle. Pediatr Cardiol 1996; 17: 251–253.

    Article  PubMed  CAS  Google Scholar 

  7. Sanz J, Rius T, Kuschnir P, Macaiuso F, Fuster V, Poon M. Images in cardiovascular medicine. Double — chambered left ventricle. Complete characterization by cardiac magnetic resonance and multidetector — row computed tomography. Circulation 2004; 110: 502–503.

    Article  Google Scholar 

  8. Gerlis LM, Patridge JB, Fiddler GI, William G, Scott O. Two chambered left ventricle. Three new varieties. Br Heart J 1981; 46: 278–284.

    PubMed  CAS  Google Scholar 

  9. Rickli H, Attenhofer Jost CH, Locher JT, Jenni R. Double — chambered left ventricle: Unusual presentation with an Apical Defect in a Thallium scan in a Middle — Aged, Asymtomatic woman. Echocardiography 1999; 16: 387–391.

    PubMed  Google Scholar 

  10. Harikrishan S, Sivasankaran S, Tharakan J. Double chambered left ventricle. Int J Cardiol 2002; 82: 59–61.

    Article  Google Scholar 

  11. Deshpande J, Sivaraman A, Vaideeswar P. Double chambered left ventricle. Cardiol Young 1994; 4: 415–416.

    Article  Google Scholar 

  12. Albertucci M, Lang RM, Karp RB, Marcus RH, Follman D. Double — Chambered left ventricle: submitral accessory valvular tissue causing inlet and outlet obstruction. J Am Soc Echocardiogr 1994; 7: 67–71.

    PubMed  CAS  Google Scholar 

  13. Joy J, Subramoniun R, Venkitachalam CG, Balakrishnan KG. Two dimensional and Doppler echocardiographic evaluation of double chambered right ventricle. Indian Heart J 1992; 44: 159–163.

    PubMed  CAS  Google Scholar 

  14. Restivo A, Cameron AH, Anderson RH, Allwork SP. Divided right ventricle, a review of its anatomical varieties. Pediatr Cardiol 1984; 5: 197–204.

    Article  PubMed  CAS  Google Scholar 

  15. Hindle WV Jr, Engle MA, Hagstrom JW. Anomalous right ventricular Muscles; a clinicopathologic study. Am J Cardiology 1968; 21: 487–495.

    Article  Google Scholar 

  16. Byrum CJ, Dick M 2nd, Behrendt DM, Hees P, Rosenthal A. Excitation of the double chamber right ventricle. Electrophysiologic and anatomic correlation. Am J Cardiol 1982; 49: 1254–1258.

    Article  PubMed  CAS  Google Scholar 

  17. 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: 1681–1686.

    Article  PubMed  CAS  Google Scholar 

  18. Beitzke A, Anderson RH, Wilkinson JL, Shinebourne EA. Two — chambered right ventricle: simulating two — chambered left ventricle. Br Heart J 1979; 42: 22–26.

    PubMed  CAS  Google Scholar 

  19. Kafka H, Burggraf GW, Pym J, Charrette EJ. A new surgical technique to correct double — chambered right ventricle associated with anomalous left anterior descending coronary artery. Can J Cardiol 1985; 1: 381–384.

    PubMed  CAS  Google Scholar 

  20. Galal O, AL-Haleesz, Solymarh L, et al. Double — chambered right ventricle in 73 Patients: Spectrum of the disease and surgical result of transatrial repair. Can J Cardiol 2000; 16: 167–174.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Cardio Vascular & Thoracic Surgery, KEM Hospital and Seth GS Medical College, Mumbai, India

    Guddati Ramana Kumar MS, Nandkishor Agrawal M.Ch.,  Jagdish Khandeparkar M.Ch. (Professor and Head), Jayant Khandekar M.Ch. & Anil Patwardhan M.Ch.

  2. Department of Cardiac Pathology, KEM Hospital and Seth GS Medical College, Mumbai, India

    Pradeep Vaideswar MD

Authors
  1. Guddati Ramana Kumar MS
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  2. Pradeep Vaideswar MD
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  3. Nandkishor Agrawal M.Ch.
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  4. Jagdish Khandeparkar M.Ch.
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  5. Jayant Khandekar M.Ch.
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  6. Anil Patwardhan M.Ch.
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Correspondence to Jagdish Khandeparkar M.Ch..

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Kumar, G.R., Vaideswar, P., Agrawal, N. et al. Double chambered ventricles: A retrospective clinicopathological study. Indian J Thorac Cardiovasc Surg 23, 135–140 (2007). https://doi.org/10.1007/s12055-007-0019-4

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  • DOI: https://doi.org/10.1007/s12055-007-0019-4

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