Double outlet right atrium with coexisting double inlet left ventricle and concordant ventriculoarterial connections: a fascinating variant of the Holmes heart.
Occasionally complex congenital cardiac disease presents for the first time in adulthood, encouraging us to reflect anew on our understanding of familiar conditions. A 59-year-old woman, who had had two normal pregnancies, attended with breathlessness and was found to have a double inlet left ventricle with concordant ventriculoarterial connections and a straddling tricuspid valve adherent to the malaligned ventricular septum.
Coats
Louise
L
Department of Cardiology, Wansbeck Hospital, Northumberland, United Kingdom. lecoats@doctors.org.uk
Runnett
Craig
C
Satchithananda
Duwarakan K
DK
D000015:Abnormalities, Multiple; D003937:Diagnosis, Differential; D004310:Double Outlet Right Ventricle / Q000175:diagnosis*; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006325:Heart Atria / Q000002:abnormalities*; D006330:Heart Defects, Congenital / Q000175:diagnosis*; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis*; D006352:Heart Ventricles / Q000002:abnormalities*; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine; D008875:Middle Aged