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Chapter 3 - Double-Outlet Right Ventricle

from Section 1 - Left-to-Right Shunts

Published online by Cambridge University Press:  09 September 2021

By
Ramesh Kodavatiganti
Edited by
Laura K. Berenstain  and
James P. Spaeth
Laura K. Berenstain
Affiliation:
Cincinnati Children's Hospital Medical Center
James P. Spaeth
Affiliation:
Cincinnati Children's Hospital Medical Center
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Summary

Double-outlet right ventricle includes a variety of anatomic arrangements wherein both great arteries, aorta and pulmonary artery, associate primarily with the right ventricle. It has a variety of anatomic subtypes depending on the relationship of the ventricular septal defect to the great arteries and the presence or absence of other coexisting cardiac anomalies. The subtypes of double outlet right ventricle are examined in detail along with their physiologic implications. This chapter then discusses in detail the physiology, clinical presentation. and perioperative management of a child with double-outlet right ventricle, a ventricular septal defect, and associated pulmonary stenosis.

Keywords

complex ventricular septal defectdouble-outlet right ventriclepulmonary stenosis; tetraology of Fallottransposition of the great arteries
Type
Chapter
Information
Congenital Cardiac Anesthesia
A Case-based Approach
 , pp. 14 - 19
Publisher: Cambridge University Press
Print publication year: 2021

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References

Suggested Reading

Aoki, M., Forbess, J. M., Jonas, R. A., et al. Results of biventricular repair for double-outlet right ventricle. J Thorac Cardiovasc Surg 1994; 107: 338–49.CrossRefGoogle ScholarPubMed
Kotwani, M., Rayaburg, V., and Tendolkar, B. A. Anaesthetic management in a patient of uncorrected double outlet right ventricle for emergency surgery. Indian J Anaesth 2017; 61: 87–8.Google Scholar
Spaeth, J. P. Perioperative management of DORV. Semin Cardiothorac Vasc Anesth 2014; 18: 281–9.CrossRefGoogle ScholarPubMed
Walters, H. L., Mavroudis, C., Tchervenkov, C. I., et al. Congenital heart surgery nomenclature and database project: double outlet right ventricle. Ann Thorac Surg 2000; 69: S249–63.CrossRefGoogle ScholarPubMed

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