Double Outlet Right Ventricle: A Rare Finding in a 15‐Month‐Old Female With Failure to Thrive
ABSTRACT Double outlet right ventricle (DORV) is a rare congenital heart defect where both the aorta and pulmonary artery originate from the right ventricle, often accompanied by additional cardiac anomalies to mitigate circulatory imbalance, though such compensations usually fail. We report a 15‐mo...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.70076 |
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| author | Bernadette Pedun Ivaan Pitua Felix Bongomin Samuel Bugeza Rita Nassanga Luzinda |
| author_facet | Bernadette Pedun Ivaan Pitua Felix Bongomin Samuel Bugeza Rita Nassanga Luzinda |
| author_sort | Bernadette Pedun |
| collection | DOAJ |
| description | ABSTRACT Double outlet right ventricle (DORV) is a rare congenital heart defect where both the aorta and pulmonary artery originate from the right ventricle, often accompanied by additional cardiac anomalies to mitigate circulatory imbalance, though such compensations usually fail. We report a 15‐month‐old infant with recurrent respiratory infections and poor weight gain, referred for computed tomography angiography. Physical examination showed a small, non‐syndromic infant with pallor, tachypnea, irritability, and finger clubbing. Initial imaging revealed cardiomegaly and lung infiltrates; echocardiography and computed tomography angiography confirmed additional intracardiac defects of double superior vena cavae, a hypoplastic aortic arch, hypertrophic right ventricular wall, and a patent ductus arteriosus. Corrective surgery was delayed due to respiratory complications. This case emphasizes the critical need to consider cardiac pathology in pediatric patients with recurrent respiratory symptoms, as untreated DORV can lead to high mortality. |
| format | Article |
| id | doaj-art-3043707ae8634d488a77f0c1228df97b |
| institution | Kabale University |
| issn | 2050-0904 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj-art-3043707ae8634d488a77f0c1228df97b2025-01-24T05:08:46ZengWileyClinical Case Reports2050-09042025-01-01131n/an/a10.1002/ccr3.70076Double Outlet Right Ventricle: A Rare Finding in a 15‐Month‐Old Female With Failure to ThriveBernadette Pedun0Ivaan Pitua1Felix Bongomin2Samuel Bugeza3Rita Nassanga Luzinda4Uganda Cancer Institute Kampala UgandaSchool of Medicine, College of Health Sciences Makerere University Kampala UgandaDepartment of Internal Medicine Gulu Regional Referral Hospital Gulu UgandaDepartment of Radiology and Radiotherapy, School of Medicine, College of Health Sciences Makerere University Kampala UgandaDepartment of Radiology and Radiotherapy, School of Medicine, College of Health Sciences Makerere University Kampala UgandaABSTRACT Double outlet right ventricle (DORV) is a rare congenital heart defect where both the aorta and pulmonary artery originate from the right ventricle, often accompanied by additional cardiac anomalies to mitigate circulatory imbalance, though such compensations usually fail. We report a 15‐month‐old infant with recurrent respiratory infections and poor weight gain, referred for computed tomography angiography. Physical examination showed a small, non‐syndromic infant with pallor, tachypnea, irritability, and finger clubbing. Initial imaging revealed cardiomegaly and lung infiltrates; echocardiography and computed tomography angiography confirmed additional intracardiac defects of double superior vena cavae, a hypoplastic aortic arch, hypertrophic right ventricular wall, and a patent ductus arteriosus. Corrective surgery was delayed due to respiratory complications. This case emphasizes the critical need to consider cardiac pathology in pediatric patients with recurrent respiratory symptoms, as untreated DORV can lead to high mortality.https://doi.org/10.1002/ccr3.70076cardiac computed tomographycase reportcongenital heart defectdouble outlet right ventricleechocardiography |
| spellingShingle | Bernadette Pedun Ivaan Pitua Felix Bongomin Samuel Bugeza Rita Nassanga Luzinda Double Outlet Right Ventricle: A Rare Finding in a 15‐Month‐Old Female With Failure to Thrive Clinical Case Reports cardiac computed tomography case report congenital heart defect double outlet right ventricle echocardiography |
| title | Double Outlet Right Ventricle: A Rare Finding in a 15‐Month‐Old Female With Failure to Thrive |
| title_full | Double Outlet Right Ventricle: A Rare Finding in a 15‐Month‐Old Female With Failure to Thrive |
| title_fullStr | Double Outlet Right Ventricle: A Rare Finding in a 15‐Month‐Old Female With Failure to Thrive |
| title_full_unstemmed | Double Outlet Right Ventricle: A Rare Finding in a 15‐Month‐Old Female With Failure to Thrive |
| title_short | Double Outlet Right Ventricle: A Rare Finding in a 15‐Month‐Old Female With Failure to Thrive |
| title_sort | double outlet right ventricle a rare finding in a 15 month old female with failure to thrive |
| topic | cardiac computed tomography case report congenital heart defect double outlet right ventricle echocardiography |
| url | https://doi.org/10.1002/ccr3.70076 |
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