The Heart Surgery Forum, Volume 7, Issue 3

Successful Surgical Management of a Double-Chambered Left Ventricle in a 13-Year-Old Girl: A Report of a Rare Case

Omer Faruk Dogan, MD,¹ Dursun Alehan, MD,² Umit Duman, MD1

Departments of ¹Cardiovascular Surgery and ²Pediatric Cardiology, Hacettepe University Medical Faculty, Hacettepe University, Ankara, Turkey

ABSTRACT

Background: Double-chambered left ventricle (DCLV) is a rare congenital anomaly, and only a few cases in which a 2-chambered LV is separated by the interventricular septum or an abnormal muscle bundle have been reported in the literature. Frequently, such cases are diagnosed when a patient is admitted to hospital for the evaluation of a cardiac murmur, and most of these patients have isolated DCLV.

Materials and Methods: We describe the case of a 13- year-old girl with DCLV who had twice undergone operation, including mitral valve replacement, in our institution.

Result: No gradient was found after surgical resection of the hypertrophic floating mass, and the patient's symptoms disappeared.

Discussion: Surgical resection can be carried out in patients with DCLV when done sufficiently early, and careful echocardiographic examination is important in a continuing follow-up. Surgeons should keep in mind the possibility of a recurrence of DCLV.

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