CASE REPORT
Year : 2016  |  Volume : 10  |  Issue : 3  |  Page : 64-66

Role of transesophageal echocardiography for intraoperative decision-making in double-chamber right ventricle with ventricular septal defect and absent pulmonary valve


1 Department of Cardiac Anaesthesia, Cardiothoracic Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
2 Department of Cardiothoracic and Vascular Surgery, Cardiothoracic Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India

Correspondence Address:
Neeti Makhija
Department of Cardiac Anaesthesia, Room No. 9, 7th Floor, Cardiothoracic Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1687-9090.200285

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Absent pulmonary valve is a variant of tetralogy of Fallot, characterized by small or rudimentary, stenotic or regurgitant pulmonary valve with dilated pulmonary artery. It is uncommonly associated with double-chamber right ventricle. We hereby report a case with preoperative diagnosis of ventricular septal defect with pulmonary stenosis based on routine transthoracic echocardiography. Intraoperatively, transesophageal echocardiography showed a rare combination of double-chamber right ventricle in association with ventricular septal defect and absent pulmonary valve, which was confirmed during surgery.


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