The left heart ventricle is the chamber of the heart that unremarkably pumps oxygen - rich ( oxygenate ) pedigree to the body , while the right heart ventricle is the chamber of the sum that pumps deoxygenated blood into the lungs . Normally , both the great artery , namely the aorta and the pulmonic arteria originate from the odd heart ventricle . The aorta exits from the left ventricle and pumps the oxygen - rich blood into the rest of the body . On the other hand , the pulmonary arteria exits from the correct ventricle and transfers the deoxygenated from the essence into the lung for the purpose of oxygenation . dual electric receptacle right ventricle ( DORV ) is a rare congenital heart upset in which both the great arterial blood vessel exit from the correct heart ventricle ( RV ) .
What is Double Outlet Right Ventricle (DORV)?
In a normal heart anatomical structure , the aorta flows out of the LV and the pneumonic artery exit from the RV . But in Double Outlet Right Ventricle ( DORV ) , both artery flow out of the RV . This becomes problematic as the RV carry atomic number 8 - misfortunate blood which then gets circulated throughout the body . Along with Double Outlet Right Ventricle ( DORV ) , the touched infants in general tend to have a hole in the muscular wall which divide the left heart ventricle from the good one . This condition is eff as ventricular septal mar ( VSD ) . For infants with Double Outlet Right Ventricle ( DORV ) , having a hole in the septum or VSD opening proves helpful as it allows the oxygen enriched blood from the LV to go into the RV and thereby get pumped into the torso together with the atomic number 8 - piteous lineage . However , even after this the infant ’s torso does not get its optimum supplying of oxygen . Thus , in this situation the heart gets over accented as it has to work harder to match the dead body ’s oxygen requirement .
What are the Causes of Double Outlet Right Ventricle (DORV)?
The causal agency of Double Outlet Right Ventricle is still not clear . The severity and symptom of Double Outlet Right Ventricle depends on the type of DORV . There are four dissimilar types of Double Outlet Right Ventricle ( DORV ) . These types are separate ground on the location of the VSD in sexual intercourse with the pulmonary artery and aorta .
Children with Double Outlet Right Ventricle are frequently find to be endure with other heart defects like pneumonic atresia , pulmonic valve stenosis , endocardial cushion defect , right - sided aortic arch , transposition of the slap-up arterial blood vessel , constriction of the aorta , mitral valve take , etc .
What are the Symptoms of Double Outlet Right Ventricle (DORV)?
uncouth symptom associate with Double Outlet Right Ventricle are bluish colour of the lips and skin ( cyanosis ) , thickener of the nail buds in the toe and hands , difficulty in breathing , swell in the stage or abdomen , pale skin ( pallor ) , sweating , retarded emergence , weight loss , extreme fatigueandpoor appetence . Other signs of Double Outlet Right Ventricle ( DORV ) are rapid breathing and rapid heartbeat ( tachycardia),enlarged heartandheart murmur .
How is Double Outlet Right Ventricle (DORV) Diagnosed & Treated?
diagnosing of Double Outlet Right Ventricle is made through certain tests and scans like pectus x - rays , heart MRI , echocardiogram and cardiac catheterization . Surgery is the best handling option for Double Outlet Right Ventricle . It take aim at closing the hole in the marrow and directing blood from the left ventricle into the aorta . Surgery may also be expect to move the pulmonic arteria or aorta . The number and case of mental process the child or patient would need to undergo in treating Double Outlet Right Ventricle is determined by factors like the type of DORV , front of other mettle problem , severity of the defect and the patient ’s overall health consideration .
What are the Possible Complications with Double Outlet Right Ventricle (DORV)?
Complications associated with Double Outlet Right Ventricle areheart nonstarter , high stemma pressure in the lungs , lung equipment casualty and expiry . Children with Double Outlet Right Ventricle ( DORV ) may need to have antibiotics before undergo any dental treatment to prevent any transmission around the sum . Antibiotics may also be ask spot surgical process for treatment of Double Outlet Right Ventricle ( DORV ) .
Conclusion
The medical prognosis of the patient and the success of the treatment in Double Outlet Right Ventricle depend on the size of the pumping chamber , location and size of the VSD , location of the aorta and pulmonary artery and the overall wellness of the patient at the time of diagnosing . Further , front of other complications like mitral valve trouble or coarctation of the aorta , and lung damage due to excessive origin flow to the lung for a prolonged period greatly impacts the prognosis .
If your child gets trite easy , has bluish lips , faces problems in breathing and has poor maturation , contact your MD straight off . With timely treatment and ripe medical care , Double Outlet Right Ventricle ( DORV ) can be trade with in effect .
