Barik Ramachandra
Department of Cardiology, Nizam's Institute of Medical Sciences, Hyderabad, Telengana, India.
J Cardiovasc Echogr. 2017 Jan-Mar;27(1):10-13. doi: 10.4103/2211-4122.199058.
The clinical diagnosis of double chamber right ventricle (DCRV) is not straightforward. Clinical history, clinical examination, 12-lead electrocardiogram, chest X-ray, and Echocardiography (echo) contribute to morphological diagnosis. Cardiac catheterization is essential for hemodynamic evaluation. A thorough presurgical workup helps the cardiac surgeon to choose the appropriate surgical approach and timing of surgery in an individual case. We present a case of a DCRV who presented to us in the fifth decade of life. Echo confirmed the morphological diagnosis and cardiac catheterization complemented the exact pull back gradient across the obstruction in the right ventricle. This patient was suggested muscle bundle resection and ventricular septal defect closure using right atrial approach.
双腔右心室（DCRV）的临床诊断并非易事。临床病史、体格检查、12导联心电图、胸部X线和超声心动图（回声）有助于形态学诊断。心导管检查对于血流动力学评估至关重要。全面的术前检查有助于心脏外科医生针对个别病例选择合适的手术方法和手术时机。我们报告一例在生命第五个十年就诊于我们的DCRV病例。超声心动图证实了形态学诊断，心导管检查补充了右心室梗阻处的确切回撤梯度。该患者建议采用右心房入路进行肌束切除术和室间隔缺损修补术。
