Double-Outlet Right Ventricle—Child (DORV—Child)
What is a double discharge of the main vessels of the right ventricle?
Double discharge of the main vessels of the right ventricle (DOS from the pancreas) It is a rare heart defect. In a healthy heart receives blood from the body into the right atrium, then enters the right ventricle. Further, the blood goes to the lungs through the pulmonary valve, where oxygenated. Then the blood is returned to the left atrium and into the left ventricle, and then it spreads throughout the body.
In a healthy person the aorta, which is the largest vessel in the body, It extends from the left ventricle. But DOS from RV, aorta and pulmonary artery out of the right ventricle.
Another heart defect called ventricular septal defect (VSD), usually, It found together with the DOS from the pancreas. VSD – opening in the wall between the right and left ventricles of the heart. DOS from the pancreas can be divided into several types depending on the location of the VSD.
Along with these diseases may occur narrowing of the pulmonary valve. DOS from the pancreas is a serious condition and requires immediate medical attention.
Causes double discharge of the main vessels of the right ventricle
This disease is a congenital. It means, DOS that develops from the pancreas, when the baby is in the womb, and the child is born with the disease. It is still unknown, the reasons why some babies anomalies occur with the development of heart.
Risk factors for DOS from the pancreas
For many heart defects risk factors remain unclear. Expected, Some risk factors for DOS from the pancreas may include:
- Family history of congenital heart disease;
- Some chromosomal abnormalities.
Symptoms double discharge of the main vessels of the right ventricle
Symptoms can vary depending upon, where the VSD. Symptoms of pancreatic DOS may include:
- Bluish skin color;
- Poor appetite / slow weight gain;
- Rapid breathing;
Diagnosis of pancreatic DOS
The doctor will ask about your symptoms and medical history of the child and will perform a physical examination. During the examination, the doctor may also detect a heart murmur.
To take pictures of internal organs can be assigned to the following procedures:
- Chest X-ray;
- Heart catheterization.
For the study of the heart ECG appointed.
Treatment of double discharge of the main vessels of the right ventricle
Talk to your doctor about your child's treatment. Often the treatment required emergency surgery. Treatments include:
The operation for the treatment of dual discharge of the main vessels of the right ventricle
To cure the DOS from the pancreas is usually performed surgery. The operation is joining the aorta to the left ventricle. The operation can vary in complexity. The doctor can set shunt or create a new channel for the connection of the left ventricle to the aorta through the VSD. To limit blood flow to the lungs, It may be carried out of the pulmonary artery banding. Depending on the presence of other anomalies, It may require more complex surgery, To change the position of the large arteries.
Monitoring the status of the child at the DOS of the pancreas
The child must undergo regular checkups by a cardiologist – a specialist in heart disease. In some cases, the child, perhaps, You need to take antibiotics before performing certain medical or dental procedures. It is necessary, to prevent the development of infections in the heart.
Prevention of double discharge of the main vessels of the right ventricle
At the moment, there are no methods to prevent double discharge of the main vessels of the right ventricle. Despite this, it is important to receive appropriate prenatal care.