What is a double output right chamber?
The right chamber with a double outlet is a very rare set of congenital heart defects. The pulmonary valve and aorta are connected to the right ventricle. Children with this condition generally also have a large chamber defect of the septum (VSD) and many of them have extreme pulmonary stenosis.
Although the right chamber with a double output is complex, newborns may not immediately show problems. In fact, some children may wait about a year to undergo any type of repair. The defect of the chamber septa is in fact the economical grace of these children. It allows blood to mix between the chambers, so some oxygen blood can get to the body. This may result in enlargement of the right ventricle when they try to push through the blood through a narrow passage of the valve. When lung stenosis is severe, the child may be in heart failure immediately after birth and therefore requires early surgical intervention.
When a double output right chamber does not recordAs soon as it is, as often as it is, parents may start noticing symptoms within a few days, and doctors will eventually hear the murmur caused by the defect of the chamber septum, which may not initially be audible. Symptoms include poor weight gain, inability to prosper, fatigue, bad breathing, a modest on the tips of the fingers and fingers, and feeding problems. If these symptoms exist, contact the pediatrician immediately, as it can be a sign of many different types of heart defects.
As soon as the heart defect is suspected, the child will be transferred to a pediatric cardiologist for testing. Most of these tests are non -invasive and most common are X -rays and echocardiograms on the chest, heart sonograms. Cardiologists can also perform cardiac catheterization, an outpatient procedure that can specifically measure the size of the VSD and the amount of lung stenosis, if it exists, and therefore estimates the best way and time to repair the double right ventricle.
If lung stenosis is not present, may beIn one operation, the right chamber with double development repaired. The surgeon repaires the defect of the ventricular septum, but connects the lines to connect the left ventricle to the aorta. This approach is called Rastelli's procedure. Other surgeons may opt for the operation of the arterial switch, commonly also used with the transposition of large arteries, in which the aorta is reconnected to the left chamber.
If the double output right chamber represents lung stenosis, the lung valves may also require replacement. The new lung valve is either beef, pig or donor. It does not grow with a child and valves generally need replacement every eight to ten years. Double outlet right ventricle can also lead to left or right chamber hypertrophy. If these chambers are too small to allow the heart to work properly, other operations such as fontan can be used to control these defects.
Children with double drain right chamber require careful observation before and after surgery. Before dental tests and pOstups are likely to have to take aspirin and low dose antibiotics daily. Cardiologists can also recommend several restrictions, for example, not to participate in competing sports. Although some children will later need surgery replacing the valve, the life length of children with this set of defects is quite good and the quality of life is not poonurgically disturbed.