Sudden iatrogenic suicidal right ventricle

Sudden death after repair of double-outlet right ventricle.

The outlook for patients with double-outlet right ventricle has improved since the development of corrective operations. Late arrhythmic deaths after successful procedures have been reported; however, the magnitude remains unknown. This study was undertaken to identify the magnitude of late sudden death and the significant factors associated with it. From 1965 through 1985, 118 patients underwe...

Percutaneous Closure of an Iatrogenic Aorta to Right Ventricle Fistula Acquired Following Intracardiac Repair.

Iatrogenic aortocardiac fistulae have been described rarely following intracardiac repair. This 28 year-old-male presented to our facility with dyspnea going on 20 days after closure of ventricular septal defect (VSD) and resection of subaortic membrane. A communication was noticed between the aorta and the right ventricle (RV) upon transthoracic echocardiography. Cardiac catheterisation reveal...

Double outlet right ventricle.

Double-chambered right ventricle.

Thirty (10.8%) of 279 patients undergoing correction of a ventricular septal defect (VSD) from January, 1972, to September, 1986, also had a double-chambered right ventricle (DCRV). Age at operation ranged from 1.3 to 18.8 years (mean, 6.7 +/- 4.5 years [+/- standard deviation]). Seventeen patients were male, and 13 were female. Two-dimensional echocardiography was used after 1978 in the initia...

Double-chambered right ventricle.

A19-year-old woman with mild exercise intolerance was referred for follow-up examination of a known ventricular septal defect (VSD; Figure 1A). By continuous-wave Doppler, a gradient across the tricuspid valve of 60 mm Hg was recorded. The parasternal short-axis view revealed an anomalous muscle bundle with insertion at the interventricular septum and the right ventricular (RV) free wall (Figur...