Successful Surgical Management of a Double-Chambered Left Ventricle in a 13-Year-Old Girl: A Report of a Rare Case
DOI:
https://doi.org/10.1532/HSF98.20041011Abstract
Background: Double-chambered left ventricle (DCLV) is a rare congenital anomaly, and only a few cases in which a 2-chambered LV is separated by the interventricular septum or an abnormal muscle bundle have been reported in the literature. Frequently, such cases are diagnosed when a patient is admitted to hospital for the evaluation of a cardiac murmur, and most of these patients have isolated DCLV
Materials and Methods: We describe the case of a 13-year-old girl with DCLV who had twice undergone operation, including mitral valve replacement, in our institution.
Result: No gradient was found after surgical resection of the hypertrophic floating mass, and the patient's symptoms disappeared.
Discussion: Surgical resection can be carried out in patients with DCLV when done sufficiently early, and careful echocardiographic examination is important in a continuing follow-up. Surgeons should keep in mind the possibility of a recurrence of DCLV
References
Caron KH, Hernandez RJ, Goble M, Beekman R. 1991. MR imaging of double chambered left ventricle. J Comput Assist Tomogr 15:140-2.nGerlis LM, Patridge JB, Fiddler GI, Williams G, Scott O. 1981. Two chambered left ventricle: three new varieties. Br Heart J 46:278-84.nJoy J, Subramanyan R, Sandhyamani A, Balakrishnan KG. 1980. Double chambered right ventricle with anomalous muscle bundles and false tendons in the left ventricle. Indian Heart J 42:58-61.nKay PH, Rygbi M, Mulholland HC. 1981. Congenital double chambered left ventricle treated by exclusion of accessory chamber. Br Heart J 49:195-8.nRickli H, Attenhofer Jost CH, Locher JT, Jenni RE. 1999. Double-chambered left ventricle: Unusual presentation with apical defect in a thallium scan in a middle-aged, asymptomatic woman. Echocardiography 16:387-91.nVaidyanathan D, Prabhakar D, Selvam K, Alegasan R, Thirunavukarasu N, Muthukumar D. 2001. Isolated congenital left ventricular diverticulum in adults. Indian Heart J 53:211-3.n
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