Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Sep 15;1(1):88-90.
doi: 10.1016/j.atssr.2022.09.003. eCollection 2023 Mar.

Totally 3D Endoscopic Repair of Double-Chambered Right Ventricle

Riku Kato  1 , Soh Hosoba  1 , Daichi Fukumi  2 , Toshiaki Ito  1
Affiliations
Case Reports

Totally 3D Endoscopic Repair of Double-Chambered Right Ventricle

Riku Kato et al. Ann Thorac Surg Short Rep. .

Abstract

Double-chambered right ventricle (DCRV) is a rare malformation that may develop after ventricular septal defect (VSD) closure. We describe a case of a 34-year-old women who underwent VSD closure in her infancy with a small Y-collar incision. She developed dyspnea on exertion and was recommended for surgery. She desired minimally invasive surgery for a cosmetic reason. We performed a totally 3e-dimensional endoscopic minimally invasive repair of DCRV. Endoscopic repair of DCRV after VSD closure for an adult is possible with an excellent view. We describe our approach, which has overcome unique technical hurdles and has yielded favorable outcomes.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Setup of the “2-window” technique.
Figure 2
Figure 2
Three-dimensional endoscopic view of the double-chambered right ventricle before resection (A), and after resection (B). (APM, anterior papillary muscle; VSD, ventricular septal defect.)
Figure 3
Figure 3
Transesophageal echocardiogram before operation (A), and after operation (B). (RVOTO, right ventricular outflow tract obstruction.)
See this image and copyright information in PMC

References

    1. Otero-Luna A., Ghiroli S., Hsia T.Y., et al. Diagnosis, surgical management, and long-term outcomes of DCRV: a rare and challenging disease in the adult population. Prog Pediatr Cardiol. 2021;62:101417.
    1. Hosoba S., Ito T., Zaikokuji K. A novel ‘two-window’ technique to facilitate totally 3D-endoscopic mitral valve repair. Surg Today. 2020;50:941–943. - PubMed
    1. Stout K.K., Daniels C.J., Aboulhosn J.A., et al. 2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2019;14:e698–e800. - PubMed
    1. Said S.M., Burkhart H.M., Dearani J.A., et al. Outcomes of surgical repair of double-chambered right ventricle. Ann Thorac Surg. 2012;93:197–200. - PubMed
    1. Darwazah A.K., Eida M., Bader V., et al. Surgical management of double-chambered right ventricle in adults. Tex Heart Inst J. 2011;38:301–304. - PMC - PubMed

Publication types

LinkOut - more resources