Preview

South Russian Journal of Therapeutic Practice

Advanced search

Difficult case of right ventricular pathology diagnostics. Double-chamber right ventricle

https://doi.org/10.21886/2712-8156-2025-6-2-72-79

Abstract

Right ventricular pathology diagnostics often causes difficulties. The article presents a clinical case of difficulty in verifying a two-chamber right ventricle. A patient with a history of resection of aortic coarctation but uncorrected ventricular septal defect eventually developed high-velocity flows in the right ventricle cavity, diagnosed by transthoracic echocardiography, which were regarded as manifestations of intraventricular obstruction in hypertrophic cardiomyopathy of the right ventricle. During additional examination, discrepancies arose in establishing the final diagnosis. Differential diagnosis was made between hypertrophic cardiomyopathy of the right ventricle, non-compact cardiomyopathy of the right ventricle and a two-chamber right ventricle.

About the Authors

S. R. Gutova
Maykop State Technological University
Russian Federation

Saida R. Gutova, Cand. Sci. (Med.), Department of Faculty Therapy

Maykop



V. V. Skibitsky
Kuban State Medical University
Russian Federation

Vitaly V. Skibitskiy, Dr. Sci. (Med.), Professor, the Head of the Department of Hospital Therapy

Krasnodar



A. V. Fendrikova
Kuban State Medical University
Russian Federation

Alexandra V. Fendrikova, Cand. Sci. (Med.), assistant professor, Department of Hospital Therapy

Krasnodar



References

1. Goor D.A., Lillehei C.W. Congenital malformations of the heart: embryology, anatomy, and operative considerations. 1st ed. New York: Grune and Stratton; 1975. ISBN: 10.0808908103

2. McAlpine WA. Heart and coronary arteries: an anatomical atlas for clinical diagnosis, radiological investigation, and surgical treatment. Berlin: Springer-Verlag; 1974. https://doi.org/10.1007/978-3-642-65983-6

3. Lorenz CH, Walker ES, Morgan VL, Klein SS, Graham TP Jr. Normal human right and left ventricular mass, systolic function, and gender differences by cine magnetic resonance imaging. J Cardiovasc Magn Reson. 1999;1(1):7-21. https://doi.org/10.3109/10976649909080829

4. Lang RM, Badano LP, Mor-Avi V, Afilalo J, Armstrong A, Ernande L, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2015;28(1):1-39.e14. https://doi.org/10.1016/j.echo.2014.10.003

5. Gabrusenko S.A., Gudkova A.Ya., Koziolova N.A., Alexandrova S.A., Berseneva M.I., Gordeev M.L., et al. 2020 Clinical practice guidelines for Hypertrophic cardiomyopathy. Russian Journal of Cardiology. 2021;26(5):4541. (In Russ.) https://doi.org/10.15829/1560-4071-2021-4541

6. Oleynikov V.E., Donetskaya N.A., Vdovkin A.V., Babina A.V., Avdeeva I.V. Non-compact right ventricular myocardium – diagnostic and clinical features: A review. Terapevticheskii arkhiv. 2022;94(4):558-564. (In Russ.) https://doi.org/10.26442/00403660.2022.04.201482

7. Loukas M, Housman B, Blaak C, Kralovic S, Tubbs RS, Anderson RH. Double-chambered right ventricle: a review. Cardiovasc Pathol. 2013;22(6):417-423. https://doi.org/10.1016/j.carpath.2013.03.004

8. Hoffman P, Wójcik AW, Rózański J, Siudalska H, Jakubowska E, Włodarska EK, et al. The role of echocardiography in diagnosing double chambered right ventricle in adults. Heart. 2004;90(7):789-793. https://doi.org/10.1136/hrt.2003.017137

9. Stout KK, Daniels CJ, Aboulhosn JA, Bozkurt B, Broberg CS, Colman JM, 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. J Am Coll Cardiol. 2019;73(12):e81-e192. Erratum in: J Am Coll Cardiol. 2019;73(18):2361-2362. https://doi.org/10.1016/j.jacc.2018.08.1029

10. Galderisi M, Cosyns B, Edvardsen T, Cardim N, Delgado V, Di Salvo G, et al. Standardization of adult transthoracic echocardiography reporting in agreement with recent chamber quantification, diastolic function, and heart valve disease recommendations: an expert consensus document of the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 2017;18(12):1301-1310. https://doi.org/10.1093/ehjci/jex244


Supplementary files

Review

For citations:


Gutova S.R., Skibitsky V.V., Fendrikova A.V. Difficult case of right ventricular pathology diagnostics. Double-chamber right ventricle. South Russian Journal of Therapeutic Practice. 2025;6(2):72-79. (In Russ.) https://doi.org/10.21886/2712-8156-2025-6-2-72-79

Views: 16


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2712-8156 (Print)