Double chamber right ventricle in a patient with supracristal ventricular septal defect and prolapsing right coronary cusp: role of intraoperative transesophageal echocardiography.
A supracristal ventricular septal defect (VSD), an outlet VSD situated in subaortic and subpulmonic regions, has a strong association with prolapse of the aortic valve cusp. The authors report the case of a patient operated for a supracristal VSD with prolapse of the right coronary cusp. The VSD was found to be in the subaortic position on preoperative transthoracic echocardiography, which failed to detect the presence of a double-chamber right ventricle. Intraoperative transesophageal echocardiography correctly recognized the supracristal nature of the VSD and identified the double-chamber right ventricle, subsequently altering the course of surgery.
Gadhinglajkar
Shrinivas
S
Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India. shri@sctimst.ac.in
Sreedhar
Rupa
R
Krishnamanohar
Soman R
SR
Jayant
Aveek
A
Bhoomkar
Nikhil S
NS
D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging*; D001021:Aortic Valve / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D017548:Echocardiography, Transesophageal / Q000379:methods*; D005260:Female; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging*; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging*; D006352:Heart Ventricles / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D006801:Humans; D018084:Ultrasonography, Interventional / Q000379:methods