D-Shaped Left Ventricle, Anatomic, and Physiologic Implications
Right ventricular loading/pressure influences left ventricular function because the two ventricles pump in series and because they are anatomically arranged in parallel, sharing the common ventricular septum. Flattening of the interventricular septum detected during echocardiographic examination is...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2017/4309165 |
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| author | Eder Hans Cativo Calderon Tuoyo O. Mene-Afejuku Rachna Valvani Diana P. Cativo Devendra Tripathi Hans A. Reyes Savi Mushiyev |
| author_facet | Eder Hans Cativo Calderon Tuoyo O. Mene-Afejuku Rachna Valvani Diana P. Cativo Devendra Tripathi Hans A. Reyes Savi Mushiyev |
| author_sort | Eder Hans Cativo Calderon |
| collection | DOAJ |
| description | Right ventricular loading/pressure influences left ventricular function because the two ventricles pump in series and because they are anatomically arranged in parallel, sharing the common ventricular septum. Flattening of the interventricular septum detected during echocardiographic examination is called D-shaped left ventricle. We present a case of an elderly male of African descent, who presented with increased shortness of breath. Transthoracic echocardiogram showed flattening and left sided deviation of interventricular septum causing a decreased size in left ventricle, secondary to volume/pressure overload in the right ventricle. While patient received hemodialysis therapy and intravascular volume was removed, patient blood pressure was noted to increase, paradox. Repeated transthoracic echocardiogram demonstrated less left deviation of interventricular septum compared with previous echocardiogram. We consider that it is important for all physicians to be aware of the anatomic and physiologic implication of D-shaped left ventricle and how right ventricle pressure/volume overload affects its function and anatomy. |
| format | Article |
| id | doaj-art-3c3a300a955047638cd5d887716e3207 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-3c3a300a955047638cd5d887716e32072025-02-03T06:11:42ZengWileyCase Reports in Cardiology2090-64042090-64122017-01-01201710.1155/2017/43091654309165D-Shaped Left Ventricle, Anatomic, and Physiologic ImplicationsEder Hans Cativo Calderon0Tuoyo O. Mene-Afejuku1Rachna Valvani2Diana P. Cativo3Devendra Tripathi4Hans A. Reyes5Savi Mushiyev6Department of Medicine, New York Medical College, Metropolitan Hospital Center, Valhalla, NY, USADepartment of Medicine, New York Medical College, Metropolitan Hospital Center, Valhalla, NY, USADepartment of Medicine, New York Medical College, Metropolitan Hospital Center, Valhalla, NY, USADepartment of Medicine, New York Medical College, Metropolitan Hospital Center, Valhalla, NY, USADepartment of Medicine, New York Medical College, Metropolitan Hospital Center, Valhalla, NY, USADepartment of Medicine, New York Medical College, Metropolitan Hospital Center, Valhalla, NY, USACardiology Division, Department of Medicine, New York Medical College, Metropolitan Hospital Center, Valhalla, NY, USARight ventricular loading/pressure influences left ventricular function because the two ventricles pump in series and because they are anatomically arranged in parallel, sharing the common ventricular septum. Flattening of the interventricular septum detected during echocardiographic examination is called D-shaped left ventricle. We present a case of an elderly male of African descent, who presented with increased shortness of breath. Transthoracic echocardiogram showed flattening and left sided deviation of interventricular septum causing a decreased size in left ventricle, secondary to volume/pressure overload in the right ventricle. While patient received hemodialysis therapy and intravascular volume was removed, patient blood pressure was noted to increase, paradox. Repeated transthoracic echocardiogram demonstrated less left deviation of interventricular septum compared with previous echocardiogram. We consider that it is important for all physicians to be aware of the anatomic and physiologic implication of D-shaped left ventricle and how right ventricle pressure/volume overload affects its function and anatomy.http://dx.doi.org/10.1155/2017/4309165 |
| spellingShingle | Eder Hans Cativo Calderon Tuoyo O. Mene-Afejuku Rachna Valvani Diana P. Cativo Devendra Tripathi Hans A. Reyes Savi Mushiyev D-Shaped Left Ventricle, Anatomic, and Physiologic Implications Case Reports in Cardiology |
| title | D-Shaped Left Ventricle, Anatomic, and Physiologic Implications |
| title_full | D-Shaped Left Ventricle, Anatomic, and Physiologic Implications |
| title_fullStr | D-Shaped Left Ventricle, Anatomic, and Physiologic Implications |
| title_full_unstemmed | D-Shaped Left Ventricle, Anatomic, and Physiologic Implications |
| title_short | D-Shaped Left Ventricle, Anatomic, and Physiologic Implications |
| title_sort | d shaped left ventricle anatomic and physiologic implications |
| url | http://dx.doi.org/10.1155/2017/4309165 |
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