Comprehensive Surgical Management of Double Outlet Right Ventricle in an Eight-Year-Old: A Case Report

Dr. Arulanandhan Ettiyan

Abstract: This case represents both the complexity and the potential for recovery in congenital heart defects when timely and precise surgical intervention is undertaken. An eight-year-old boy with a history of cyanosis since birth, recurrent respiratory tract infections, and exertional breathlessness was diagnosed with double outlet right ventricle (DORV) featuring a large subaortic ventricular septal defect, severe valvar pulmonary stenosis, and overriding aorta. Preoperative evaluation revealed right atrial and ventricular dilatation with preserved left ventricular function. The surgical approach involved median sternotomy, cardiopulmonary bypass, and tailored reconstruction, including bovine pericardial tunneling of the left ventricle to the aorta, resection of obstructive right ventricular outflow tract muscle bundles, and augmentation with an autologous patch. Notably, the postoperative course was stable, and the patient was discharged with improved hemodynamics and no complications. This suggests that, despite the inherent risks in such complex congenital cases, meticulous operative planning and execution can lead to favorable outcomes comparable to those reported in specialized pediatric cardiac centers.

Keywords: double outlet right ventricle, congenital heart surgery, pediatric cardiology, ventricular septal defect, pulmonary stenosis

How to Cite?: Dr. Arulanandhan Ettiyan, "Comprehensive Surgical Management of Double Outlet Right Ventricle in an Eight-Year-Old: A Case Report", Volume 14 Issue 8, August 2025, International Journal of Science and Research (IJSR), Pages: 720-721, https://www.ijsr.net/getabstract.php?paperid=SR25812231841, DOI: https://dx.doi.org/10.21275/SR25812231841