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Doctor insights on: Double Outlet Right Ventricle

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What is a double outlet right ventricle?

What is a double outlet right ventricle?

See below:: It's a congenital heart disease in which the aorta rises from the right ventricle (the chamber of the heart that pumps blood to the lungs), instead of from the left ventricle (the normal pumpng chamber to the body). Both the pulmonary artery (which carries oxygen-poor blood to the lungs) and aorta (which carries oxygen-rich blood from the heart to the body) comefrom the same pumping chamber. ...Read more

Dr. Jay Park Dr. Park
4 doctors agreed:
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What is the procedure to fix a double outlet right ventricle?

Dr. Jay Park Dr. Park
4 doctors agreed:
What is the procedure to fix a double outlet right ventricle?

Depends: The choice of corrective surgery(s) for double outlet right ventricle depends upon the associated structural abnormality (ies) inside of heart, e.g., pulmonic stenosis. ...Read more

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Abnormal shunt left to right atrium suggestive small atrial septal defect can this make the shunt also go right to left if so is it dangerous?

Abnormal shunt left to right atrium suggestive small atrial septal defect can this make the shunt also go right to left if so is it dangerous?

If RA>LA pressure: Shunt flow will direct from the higher pressure chamber to the lower pressure one. This usually results in left to right shunting across an asd. Over time, as flow into RA is increased, a corresponding increase in pulmonary blood flow will lead to pulmonary hypertension. The subsequent rise in right sided pressures will lead to reverse shunting (r to l) with cyanosis (eisenmenger). ...Read more

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Is having a double outlet right ventricle hereditary?

Is having a double outlet right ventricle hereditary?

No: If you have a family history of congenital structural heart disease, then then is a very slight increased risk of some type of congenital heart disease, but the chance of it being exactly the same thing would be very small. ...Read more

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With right ventricle dilatation where would your Apex beat be if it was misplaced because of the right ventricle dilatation? Left or Right side?

Left side: Left side of the chest, slightly more medial than the usual place for the Left ventricular apical impulse. Either way: why would you like to palpate right or left ventricle if you are not a professional? It is not helpful to (mis)interpret medical findings/tests when you do not have the knowledge of the "big picture", nor it is to read technical details that are not going to make you feel better. ...Read more

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The left side of my heart is smaller than the right on echo surely it should be the other way round? I have no c.myopathy but abnormal septal motion

The left side of my heart is smaller than the right on echo surely it should be the other way round? I have no c.myopathy but abnormal septal motion

PAH*, ASD: PAH has to be ruled out. Also, ASD. Some ASD's may be overlooked as the echo findings are challenging. Specifically sinus venosus and unroofed coronary sinus. Finally, it could be ARVC, but that is seen less on echo. I would order a TEE and/or cardiac MRI. If they are negative, a right heart cath can measure the pressure on the right side of your heart. *PAH -- pulmonary arterial hypertension ...Read more

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What does this mean? Is my ovary still functioning? Faint Doppler flow noted to the left ovary with color flow identified. Sig. of this is uncertain.

What does this mean? Is my ovary still functioning? Faint Doppler flow noted to the left ovary with color flow identified. Sig. of this is uncertain.

Background info: It sounds like perhaps this is form a radiology report. Maybe this is form a sonogram report. In order to interpret a radiology report the doctor needs to know the clinical background information such as who the patient is and why the particular study is being done. Without that an accurate analysis can not be done. Check with the doctor who ordered the test and ask for the interpretation ...Read more

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Is it normal for blood pressure to be slightly higher in left arm than right arm? Left: 106/66 right: 100:64 what does that mean?

Is it normal for blood pressure to be slightly higher in left arm than right arm? Left: 106/66 right: 100:64 what does that mean?

Yes. Normal: Like any measurement, sphygmomanometry is only as accurate as the instrument being used and its operator. There is a certain amount of normal variability in blood pressure. Larger differences can be due to certain conditions. The difference you describe can probably be accounted for by the inherent variability of the machinery. ...Read more

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If your ECG says right axis deviation is this a hypertrophy of the right ventricle or dilatation? Or is both possible?

If your ECG says right axis deviation is this a hypertrophy of the right ventricle or dilatation? Or is both possible?

Neither or both: RAD occurs due to RV pressure or volume overload which can be acute or chronic. Long term pressure overload will eventually lead to RVH. Long term volume overload will eventually lead to dilation. But you can have RAD acutely with neither. An example of that is acute pulmonary embolism. ...Read more

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What is the treatment for double outlet right ventricle?

What is the treatment for double outlet right ventricle?

DORV surgery: Surgery is the main treatment where the left ventricle is connected to the aorta, and the right ventricle is connected to the main pulmonary artery for the most common type. Variations on this are done depending on the sub-type of the defects. ...Read more

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Is it normal for a right handed person to have left eyesight weaker than the right side?

Is it normal for a right handed person to have left eyesight weaker than the right side?

Not related: I would not think that your eyesight has anything to do with your handedness. The lens has changed in such a way that the vision is not as good on the left-hand side but not related to whether your right-handed or not. ...Read more

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What does it mean if the heart is enlarged in transverse diameter with unfolding thoracic aorta?

What does it mean if the heart is enlarged in transverse diameter with unfolding thoracic aorta?

U r reading too much: You read technical phrases on an echocardiogram that by itself and without a clinical context has very little meaning. Discuss the whole report with the person who ordered it and DO NOT waste time, energy and anxiety reading technical jargon that may not mean much. ...Read more

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Why is it that propranolol, a beta-blocker drug is given to a patient with double outlet right ventricle?

Why is it that propranolol, a beta-blocker drug is given to a patient with double outlet right ventricle?

To relax the heart: Some patients with double outlet right ventricle have abnormally thick muscle bundles that block the flow of blood to the lungs when the heart contracts. When the blockage is severe the oxygen level in the body can drop to dangerous levels. Beta blockers such as Propranolol reduce the strength of the heart's contraction allowing more blood to pass to the lungs and can improve the oxygen level. ...Read more

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Is rv hypertrophy often missed on 2d echo? Or is it usually discovered? I know right heart is hard to visualize but does it miss hypertrophy?

Is rv hypertrophy often missed on 2d echo? Or is it usually discovered? I know right heart is hard to visualize but does it miss hypertrophy?

It depends: The right heart is usually well visualized on 2d-echo, it is just that the right ventricle has long been neglected due to attention given to the left heart. If a physician is not looking for it and the sonographer lacks familiarity with ultrasound techniques to evaluate the rv, hypertrophy can be missed. There is a push from the echo society to pay more attention to the rv. ...Read more

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In addition to mild hypokinesis of the left ventricle when ejection fraction is 48% and left atrium is moderately dilated, what could that indicate?

In addition to mild hypokinesis of the left ventricle when ejection fraction is 48% and left atrium is moderately dilated, what could that indicate?

EF: What this means is that there is a region of your heart that is not moving properly. This likely secondary to impaired irrigation from a possible stenosis vessel. Depending on the reason you could have diastolic/systolic dysfunction. Giving the dilated atrium. You should likely be on bblockers, acei, Aspirin, ...Read more

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What is the normal size of the rv in a adult? Right ventricular its 2.7 to what? And at how big is it dangerous?

What is the normal size of the rv in a adult? Right ventricular its 2.7 to what? And at how big is it dangerous?

Depends: It depends on where you are measuring the RV from. As based on the low normal your report, this is likely a mid RV diameter measure. At this point in the heart, normal is from 2.7- 3.3cm. In regards to dangerousness, this is a complicated answer. It depends on why it's enlarged but also how the function(pumping ability) is too. ...Read more

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Is it normal that the left trapezius is bigger than my right?

Is it normal that the left trapezius is bigger than my right?

Yes: We all have a little asymmetry. Have someone look at your back as you lift your arms above your head. If your shoulder blades are also one higher than the opposite side, you should get in to see physical therapy. ...Read more

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Theoretically, if the left ventrical was hypotrophied it would raise ejection fraction? Would a dialated lv lower ef ? Not an issue, just curios.

Which is a concern?: Left Ventricular Hypertrophy would not RAISE an ejection fraction...but a dilated, thin Left ventricle could LOWER an EF. TWO different issues. WHIch is a concern for you? ...Read more