Double‐Chambered Right Ventricle Associated with Infective Endocarditis Complication of the Pulmonary Valve: Surgical Management

Abstract  Double‐chambered right ventricle (DCRV) is a rare congenital heart disease characterized by the presence of anomalous muscle bundles, which divide the right ventricle into two chambers: a high‐pressure proximal chamber and a low‐pressure distal chamber. Most DCRV patients are diagnosed and treated during childhood, and presentation in adulthood is not common. Many congenital heart diseases are often associated with other complications such as infective endocarditis (IE). Right‐side endocarditis, which usually involves infection of the tricuspid valve, is uncommon, and endocarditis of the pulmonary valve is extremely rare. We report a 51‐year‐old woman with undiagnosed DCRV and ventricular septal defect associated with pulmonary valve endocarditis. The diagnostic evaluation and the surgical management are discussed.

[1]  J. Różański,et al.  The role of echocardiography in diagnosing double chambered right ventricle in adults , 2004, Heart.

[2]  J. Oliver,et al.  Rapid progression of midventricular obstruction in adults with double-chambered right ventricle. , 2003, The Journal of thoracic and cardiovascular surgery.

[3]  D. de Bruijn,et al.  Double chambered right ventricle: delineation by multiplane transoesophageal echocardiography. , 1998, International journal of cardiology.

[4]  J. Somerville,et al.  Small ventricular septal defects in adults. , 1998, European heart journal.

[5]  C. Byrum,et al.  Postoperative assessment of a modified surgical approach to repair of tetralogy of Fallot. Long-term follow-up. , 1996, Circulation.

[6]  Cheng‐Ho Tsai,et al.  Transesophageal echocardiographic image of double-chambered right ventricle. , 1996, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[7]  A. Cabrera,et al.  Double-chambered right ventricle. , 1995, European heart journal.

[8]  B. McManus,et al.  Isolated pulmonic valve infective endocarditis: a diagnostically elusive entity. , 1985, American heart journal.

[9]  D. Goor,et al.  Fractional gradients along the outflow tract of the right ventricle in tetralogy of Fallot: anatomic and hemodynamic correlative study. , 1981, The Journal of thoracic and cardiovascular surgery.

[10]  T. Ferguson,et al.  The course of children with the two-chambered right ventricle. , 1970, The Journal of thoracic and cardiovascular surgery.

[11]  J. Edwards,et al.  Right-sided bacterial endocarditis and endarteritis; a clinical and pathologic study. , 1958, The American journal of medicine.