title: Surgical repair of double-chambered right ventricle in adulthood.
abstract: The aim of this study was to investigate a rare subset of adult patients with double-chambered right ventricle, pertaining to clinical presentation, rhythm disturbances, surgical approach, and results of surgical repair. A retrospective review of our records revealed that 14 adults had undergone surgical repair of double-chambered right ventricle from 1990 to 2010. Their median age was 25.5 years, and their median weight was 50 kg. Patients presented with various symptoms, the most common being dyspnea on exertion. The mean systolic pressure gradient across the obstruction was 69.8 ± 23.1mm Hg. The most common associated anomaly was ventricular septal defect. Significant rhythm disturbances were present in 4 patients. Transatrial repair was undertaken in 5 patients, a combined transatrial and transpulmonary approach was used in 4, and a right ventriculotomy in 5. There was no mortality at a median follow-up of 5.1 years. A mild right ventricular outflow tract gradient was noted in 2 patients. Medical management was required for rhythm disturbances in 2 patients. Double-chambered right ventricle can present in adulthood, often with vague symptoms. The midterm results of surgical correction are satisfactory. Long-term follow-up is necessary to detect late arrhythmias.
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, Sree Chitra TirunalInstitute for Medical Science and Technology, Trivandrum, Kerala, India. drbrijeshpk00@gmail.com
authors.forename: Brijesh P
authors.initials: BP
authors.lastname: Kottayil
authors.forename: Baiju S
authors.initials: BS
authors.lastname: Dharan
authors.forename: Vivek V
authors.initials: VV
authors.lastname: Pillai
authors.forename: Varghese T
authors.initials: VT
authors.lastname: Panicker
authors.forename: Shyamkrishnan K
authors.initials: SK
authors.lastname: Gopalakrishnan
authors.forename: Karunakaran
authors.initials: K
authors.lastname: Jayakumar
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D005260:Female; D006330:Heart Defects, Congenital / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D006352:Heart Ventricles / Q000002:abnormalities / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007194:India; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult