Podwójne ujście prawej komory
Charakterystyka, pielęgnacja i opieka

Podwójne ujście prawej komory (DORV) to wrodzona wada serca charakteryzująca się odprowadzeniem obu wielkich tętnic – aorty i tętnicy płucnej – z prawej komory, co skutkuje brakiem połączenia lewej komory z aortą. W niemal wszystkich przypadkach współistnieje ubytek przegrody międzykomorowej (VSD), który umożliwia mieszanie się krwi utlenowanej i odtlenowanej, co paradoksalnie jest korzystne dla przepływu krwi do aorty. Klasyfikacja DORV opiera się na lokalizacji VSD (podaortalny, podpłucny – serce Taussig-Bing) oraz obecności zwężenia zastawki płucnej (PS) lub innych wad towarzyszących. Diagnostyka obejmuje badania prenatalne (echokardiografia płodu) oraz po urodzeniu: RTG klatki piersiowej, MRI/CT, EKG, echokardiografię i cewnikowanie serca. W ciężkich przypadkach sinicy stosuje się prostaglandynę E1 (PGE1) w celu utrzymania drożności przewodu tętniczego. Leczenie farmakologiczne obejmuje diuretyki pętlowe (np. furosemid), diuretyki oszczędzające potas (spironolakton), digoksynę, beta-blokery oraz antykoagulanty i profilaktykę antybiotykową przed zabiegami.

Wprowadzenie do podwójnego ujścia prawej komory

Podwójne ujście prawej komory (ang. Double Outlet Right Ventricle, DORV) to wrodzona wada serca, w której obie wielkie tętnice – aorta oraz tętnica płucna – odchodzą od prawej komory serca, zamiast po jednej z każdej komory.12 W prawidłowo ukształtowanym sercu tętnica płucna powinna odchodzić od prawej komory, natomiast aorta od lewej komory. W przypadku DORV lewy komorze brakuje połączenia z którąkolwiek z głównych tętnic.3 Niemal zawsze u pacjentów z DORV występuje również ubytek przegrody międzykomorowej (VSD), czyli nieprawidłowy otwór w ścianie między lewą a prawą komorą, który pozwala na mieszanie się krwi bogatej w tlen i ubogiej w tlen.45

Paradoksalnie, u dzieci z DORV ten otwór jest korzystny, ponieważ zapewnia jedyną drogę dla natlenowanej krwi z lewej komory do dotarcia do aorty (poprzez prawą komorę) i zostania wypompowaną do organizmu.6 Bez odpowiedniego leczenia, DORV może prowadzić do poważnych powikłań, takich jak nadciśnienie płucne i niewydolność serca.78

Typy podwójnego ujścia prawej komory

Klasyfikacja DORV zależy przede wszystkim od lokalizacji ubytku przegrody międzykomorowej (VSD) oraz obecności dodatkowych wad serca. Wyróżnia się następujące główne typy:910

  • DORV z VSD podaortalnym (pod aortą)
  • DORV z VSD podpłucnym (pod tętnicą płucną) – znane również jako serce Taussig-Bing
  • DORV ze zwężeniem zastawki płucnej (PS)
  • DORV bez zwężenia zastawki płucnej
  • DORV z innymi towarzyszącymi wadami serca

910

Fizjologia i objawy kliniczne różnią się w zależności od typu DORV, co wpływa na podejście terapeutyczne i strategie leczenia chirurgicznego.11

Opieka nad noworodkiem z DORV

Diagnostyka i wczesna interwencja

Diagnostyka DORV może być przeprowadzona już w okresie prenatalnym za pomocą badania echokardiograficznego płodu.1213 Jeśli wada zostanie wykryta przed urodzeniem, zespół opieki perinatalnej będzie monitorował matkę i dziecko przez całą ciążę oraz przygotuje plan opieki poporodowej.1415

Po urodzeniu dziecka z DORV opiekę nad nim przejmuje neonatolog specjalizujący się w pracy z chorymi niemowlętami.16 Diagnostyka poporodowa obejmuje:17

  • Zdjęcie rentgenowskie klatki piersiowej
  • Rezonans magnetyczny (MRI) lub tomografię komputerową (CT)
  • Elektrokardiografię (EKG)
  • Echokardiografię
  • Cewnikowanie serca

17

W okresie noworodkowym, w przypadku ciężkiej sinicy, może być konieczne podawanie prostaglandyn w celu utrzymania drożności przewodu tętniczego.1819 Utrzymanie drożności przewodu tętniczego za pomocą prostaglandyny E1 (PGE1) jest istotne u noworodków ze znacznie zmniejszonym przepływem krwi przez płuca z powodu ciężkiego zwężenia zastawki płucnej.20

Wczesne postępowanie medyczne

Postępowanie medyczne zależy od prezentacji klinicznej, którą determinują różnice w fizjologii każdego typu DORV.21 Noworodek może potrzebować:

  • Wsparcia oddechowego
  • Dodatkowego tlenu
  • Leków wspomagających pracę serca
  • Prostaglandyny E (PGE, lub „prostyny”) w celu utrzymania drożności przewodu tętniczego

2223

W przypadku DORV bez zwężenia zastawki płucnej (PS) należy wdrożyć leczenie zastoinowej niewydolności serca (CHF), aby poprawić stan pacjenta przed operacją. Leczenie CHF wymaga podawania leków takich jak:24

  • Diuretyki pętlowe (np. furosemid)
  • Diuretyki oszczędzające potas (np. spironolakton)
  • Leki zmniejszające obciążenie następcze
  • Digoksyna

24

U niektórych dzieci z DORV może być również konieczne zastosowanie:25

  • Beta-blokerów w celu zmniejszenia intensywności pracy serca
  • Leków przeciwzakrzepowych (antykoagulantów) zapobiegających zakrzepom
  • Antybiotyków przed określonymi zabiegami medycznymi i dentystycznymi w celu zapobiegania infekcjom

2526

Leczenie chirurgiczne DORV

Planowanie i rodzaje zabiegu

Prawie wszystkie dzieci z DORV wymagają operacji kardiochirurgicznej w pierwszym roku życia.27 Czasami operacja jest przeprowadzana w ciągu pierwszych kilku dni po urodzeniu, w innych przypadkach może być wykonana w ciągu pierwszych kilku miesięcy życia.2829

Decyzja o terminie i rodzaju operacji zależy od wielu czynników:30

  • Innych problemów z sercem lub innymi narządami dziecka
  • Ogólnego stanu zdrowia dziecka
  • Typu DORV

30

Główne typy procedur chirurgicznych stosowanych w leczeniu DORV to:3132

  • Naprawa śródkomorowa (intraventricular repair): Chirurg tworzy tunel przez VSD, aby połączyć aortę z lewą komorą
  • Naprawa dwukomorowa lub przełożenie tętnic (biventricular repair/arterial switch): Jeśli obie komory są w dobrym stanie, a DORV ma VSD podpłucne (serce Taussig-Bing), chirurg może zalecić przemieszczenie aorty do lewej komory
  • Naprawa jednokomorowa (univentricular repair): W bardziej złożonych przypadkach DORV, chirurg może zalecić operację Fontana, która przekierowuje przepływ krwi z dolnej części ciała dziecka do płuc

3133

Chirurg może wykonać jedną lub więcej z następujących procedur w celu leczenia DORV:34

  • Utworzenie drogi w sercu łączącej lewą dolną komorę serca z główną tętnicą organizmu (aortą)
  • Użycie łaty (zwanej przegrodą) do naprawy ubytku w sercu
  • Poprawienie położenia aorty i tętnicy płucnej, jeśli są odwrócone
  • Połączenie prawej dolnej komory serca z tętnicą płucną, jeśli jest to konieczne
  • Poszerzenie naturalnej drogi do płuc, jeśli jest zwężona

34

Opieka pooperacyjna

Po operacji dziecko trafia do Oddziału Intensywnej Terapii Kardiotorakochirurgicznej (CTICU).35 Pobyt w szpitalu po urodzeniu może trwać od kilku dni do kilku miesięcy.36 Dziecko będzie zwykle musiało spędzić co najmniej jeden do dwóch tygodni w szpitalu po operacji serca. W tym czasie będzie pod nadzorem 24-godzinnej opieki.37

Podczas operacji dziecko otrzyma znieczulenie ogólne, które zapewni mu komfort i sen. Po operacji dziecko będzie musiało pozostać na oddziale intensywnej terapii kardiologicznej (CICU) przez pierwsze kilka dni i może być podłączone do kilku rurek i przewodów, aby umożliwić lekarzowi najlepsze monitorowanie stanu dziecka. Zastosowana będzie kontrola bólu, aby zapewnić dziecku komfort.38

Większość rurek i przewodów zostanie odłączona przed opuszczeniem przez dziecko CICU, po czym spędzi ono jeszcze kilka dni w szpitalu na oddziale przejściowym.39

Dziecko i rodzina będą mogli wrócić do domu, gdy dziecko będzie:40

  • Oddychać komfortowo i z bezpiecznym poziomem tlenu
  • Przybierać na wadze zgodnie z planem żywienia dostosowanym do życia w domu
  • Kontrolować własną temperaturę w zwykłym łóżeczku dla niemowląt

40

Potencjalne powikłania chirurgiczne

Większość niemowląt ma dobre wyniki po operacji DORV. Jednak każda operacja serca wiąże się z ryzykiem, takim jak:41

  • Krwawienie
  • Zakrzepy krwi, które mogą powodować udar lub zawał serca
  • Infekcja
  • Problemy z wybudzeniem z anestezji
  • Niewydolność oddechowa
  • Nieprawidłowe rytmy serca i blok serca

41

Nawet po naprawie chirurgicznej podwójnego ujścia prawej komory, u dziecka mogą występować nieprawidłowe rytmy serca. U niektórych osób po latach może rozwinąć się niewydolność serca.42

Długoterminowa opieka i obserwacja

Regularne wizyty kontrolne

Dzieci z DORV wymagają regularnych wizyt kontrolnych u kardiologa dziecięcego.43 Opieka ta musi być kontynuowana przez całe życie.44 Okres obserwacji zależy od rodzaju wykonanej procedury chirurgicznej oraz od tego, czy w ciągu życia dziecka spodziewane są dodatkowe operacje.45

Wizyty kontrolne w ciągu pierwszych kilku lat po operacji powinny odbywać się co 6-12 miesięcy, aby wykryć powikłania operacyjne, które mogą obejmować zaburzenia rytmu (np. przetrwałe tachykardie przedsionkowe, złożoną ektopię komorową) oraz zwężenie lub częściową niedrożność tunelu międzykomorowego.46

W wieku dorosłym pacjenci powinni być pod opieką kardiologa specjalizującego się w leczeniu wrodzonych wad serca u dorosłych (adult congenital cardiologist).4748 Niektóre ośrodki medyczne oferują specjalne programy dla dorosłych z wrodzonymi wadami serca, które ułatwiają przejście z opieki pediatrycznej do opieki dla dorosłych.49

Farmakoterapia profilaktyczna i lecznicza

Ze względu na ryzyko infekcyjnego zapalenia wsierdzia, niektóre osoby z podwójnym ujściem prawej komory muszą przyjmować antybiotyki przed określonymi zabiegami stomatologicznymi.5051 Konieczna jest dożywotnia profilaktyka antybiotykowa przed potencjalnie zanieczyszczonymi procedurami, zwłaszcza zabiegami stomatologicznymi.52

Niektórzy dorośli urodzeni z podwójnym ujściem prawej komory potrzebują leków, aby poprawić funkcjonowanie prawej lub lewej dolnej komory serca.53 W późniejszym życiu może być konieczna operacja, jeśli zastawka serca jest zwężona lub przepuszcza krew do tyłu.54

Zalecenia dotyczące stylu życia

Lekarz prowadzący dziecka może udzielić bardziej szczegółowych wskazówek dotyczących postępowania z DORV, ale należy pamiętać o następujących kwestiach:55

  • Zapytać lekarza, jaki rodzaj ćwiczeń jest odpowiedni dla dziecka
  • Nauczyć dziecko zdrowego odżywiania dla serca
  • Informować lekarzy i dentystów dziecka o jego DORV
  • Upewnić się, że dziecko regularnie odwiedza specjalistę od wrodzonych wad serca

5556

Zachęcanie do zrównoważonej diety, regularnych ćwiczeń (zatwierdzonych przez zespół medyczny) i utrzymanie zdrowej wagi są kluczowe dla wspierania zdrowia serca dziecka.57

Wsparcie psychologiczne i edukacyjne

Wsparcie dla rodzin

Opieka nad dzieckiem ze złożoną wadą serca może być wyzwaniem emocjonalnym. Warto szukać wsparcia u rodziny, przyjaciół i grup wsparcia, aby łatwiej poruszać się po tej trudnej drodze.58 Wielodyscyplinarny zespół medyczny, składający się z kardiologów dziecięcych, kardiochirurgów, specjalistów intensywnej terapii, anestezjologów, pielęgniarek, pracowników socjalnych, psychologów, terapeutów i innych specjalistów, może zapewnić nie tylko opiekę medyczną, ale również wsparcie emocjonalne dla rodzin.59

Niektóre ośrodki oferują programy rozwojowej obserwacji kardiologicznej, stworzone w celu zapewnienia skoordynowanej opieki dla dzieci z wrodzonymi wadami serca. Program taki zapewnia badania przesiewowe, ocenę i skoordynowaną opiekę przez multidyscyplinarny zespół ekspertów, który obejmuje kardiologów, pediatrów, pielęgniarki, psychologów, pracowników socjalnych oraz specjalistów od fizjoterapii, terapii mowy i terapii zajęciowej.60

Edukacja i podnoszenie świadomości

Zdobywanie wiedzy na temat DORV, jego leczenia i potencjalnych powikłań jest kluczowe, aby podejmować świadome decyzje i skutecznie działać na rzecz opieki nad dzieckiem.61 Edukacja rodziców i opiekunów na temat choroby, jej objawów i sposobów postępowania w sytuacjach awaryjnych jest niezbędnym elementem długoterminowej opieki.62

Kiedy szukać natychmiastowej pomocy medycznej

Należy natychmiast skontaktować się z lekarzem prowadzącym dziecka lub szukać natychmiastowej pomocy medycznej, jeśli dziecko:6364

  • Ma trudności z oddychaniem
  • Ma problemy z karmieniem
  • Traci na wadze
  • Ma obrzęki (edema)
  • Jest skrajnie zmęczone (apatyczne)
  • Ma sine lub szare zabarwienie skóry, ust lub paznokci
  • Wykazuje inne poważne objawy

6566

Rokowanie i długoterminowe perspektywy

Większość dzieci z DORV ma dobre wyniki po operacji.67 Operacja i regularne kontrole mogą pomóc osobom urodzonym z podwójnym ujściem prawej komory prowadzić zdrowsze i dłuższe życie.68

Większość dzieci z DORV prowadzi normalne i aktywne życie. Jednak zawsze będą potrzebować specjalnej opieki kontrolnej u kardiologów. Niektórzy mogą potrzebować dodatkowych operacji w wieku dorosłym.6970

Wczesna interwencja może znacznie zmniejszyć ryzyko późniejszych problemów, takich jak niewydolność serca i zakażenie zastawek serca.7172 Dzięki postępom w technologii medycznej i wiedzy specjalistycznej, dzieci zdiagnozowane z DORV mają większe szanse na prowadzenie satysfakcjonującego życia.73

Podsumowanie opieki nad pacjentem z DORV

Podwójne ujście prawej komory (DORV) wymaga kompleksowego, wielodyscyplinarnego podejścia do opieki, które obejmuje:7475

  • Wczesną diagnozę, najlepiej przed urodzeniem
  • Odpowiednie leczenie farmakologiczne w celu stabilizacji stanu przed operacją
  • Interwencję chirurgiczną dostosowaną do konkretnego typu DORV
  • Kompleksową opiekę pooperacyjną
  • Regularne wizyty kontrolne przez całe życie
  • Profilaktykę antybiotykową przed procedurami medycznymi i stomatologicznymi
  • Wsparcie psychologiczne i edukacyjne dla rodzin
  • Dostosowanie stylu życia do potrzeb pacjenta

7677

Opieka nad pacjentem z DORV wymaga cierpliwości, czujności i zaangażowania zarówno ze strony zespołu medycznego, jak i rodziny pacjenta. Dzięki właściwej opiece, większość pacjentów z DORV może prowadzić pełne i aktywne życie, mimo że będzie wymagać specjalistycznego nadzoru medycznego przez całe życie.7879

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 12.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Double Outlet Right Ventricle (DORV) | Texas Children’s
    https://www.texaschildrens.org/content/conditions/double-outlet-right-ventricle-dorv
    Double outlet right ventricle (DORV) is a congenital heart defect, meaning it is present at birth. It occurs when the heart doesn’t form properly during fetal development. In most cases, the cause is unknown. […] In addition, almost all babies with DORV also have a ventricular septal defect (VSD), an abnormal opening in the wall between the left and right ventricles that allows blood from each side of the heart – oxygen-rich and oxygen-poor blood – to mix together. […] For babies with DORV, this hole is helpful, providing the only way for oxygenated blood to reach the right ventricle, where the aorta is connected, and be pumped out into the body. […] Without treatment, risks include high blood pressure and heart failure. […] Surgery is required to correct double outlet right ventricle, enabling blood to flow normally out of the heart to the body and lungs.
  • #2 Double outlet right ventricle : MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/007328.htm
    Double outlet right ventricle (DORV) is a heart disease that is present from birth (congenital). The aorta connects to the right ventricle (RV, the chamber of the heart that pumps oxygen-poor blood to the lungs), instead of to the left ventricle (LV, the chamber that normally pumps oxygen-rich blood to the body). […] Treatment requires surgery to close the hole in the heart and direct blood from the left ventricle into the aorta. Surgery may also be needed to move the pulmonary artery or aorta. […] Children with this heart condition may need to take antibiotics before surgeries or dental treatments. This prevents infections in the heart. […] Contact your health care provider if your child seems to tire easily, has trouble breathing, or has bluish skin or lips. You should also consult your provider if your baby is not growing or gaining weight.
  • #3 Double Outlet Right Ventricle | Children’s Hospital Colorado
    https://www.childrenscolorado.org/conditions-and-advice/conditions-and-symptoms/conditions/double-outlet-right-ventricle/
    Double outlet right ventricle (DORV) is a rare cardiac birth defect where both great arteries (the pulmonary artery and the aorta) arise from the right ventricle. No great arteries are connected to the left ventricle (the chamber that normally pumps blood to the body). […] Depending on their stability, babies with DORV require heart surgery in the first few days to months of life to correct the heart defect.
  • #4 Double Outlet Right Ventricle (DORV) | Texas Children’s
    https://www.texaschildrens.org/content/conditions/double-outlet-right-ventricle-dorv
    Double outlet right ventricle (DORV) is a congenital heart defect, meaning it is present at birth. It occurs when the heart doesn’t form properly during fetal development. In most cases, the cause is unknown. […] In addition, almost all babies with DORV also have a ventricular septal defect (VSD), an abnormal opening in the wall between the left and right ventricles that allows blood from each side of the heart – oxygen-rich and oxygen-poor blood – to mix together. […] For babies with DORV, this hole is helpful, providing the only way for oxygenated blood to reach the right ventricle, where the aorta is connected, and be pumped out into the body. […] Without treatment, risks include high blood pressure and heart failure. […] Surgery is required to correct double outlet right ventricle, enabling blood to flow normally out of the heart to the body and lungs.
  • #5 Partners in Care | Double Outlet Right Ventricle treatment at the…
    https://partnersincare.health/conditions/double-outlet-right-ventricle
    Double outlet right ventricle (DORV) is a congenital heart defect in which both of the great arteries (the pulmonary artery and the aorta) connect to the right ventricle. […] A hole between the two pumping chambers of the heart (ventricular septal defect) is always present in patients with DORV. This allows the mixing of oxygen-rich and oxygen-poor blood and causes the blood to not be as oxygenated as it should be. […] While medications can be used to help children, who have too much blood going to their lungs, feel better and grow larger in size, surgery is needed to repair the defect and connect the great arteries with their correct pumping chambers. […] The Texas Center for Pediatric and Congenital Heart Disease, a clinical partnership between Dell Childrens Medical Center and UT Health Austin, takes a multidisciplinary approach to your childs care. This means your child and your family will benefit from the expertise of multiple specialists across a variety of disciplines. Your care team will include pediatric cardiologists, cardiothoracic surgeons, interventional cardiologists, critical care specialists, hospitalists, anesthesiologists, perfusionists, nurses, advanced practice providers, social workers, psychologists, child life specialists, dietitians, physical and occupational therapists, pharmacists, and more, who work together to provide unparalleled care for patients every step of the way.
  • #6 Double Outlet Right Ventricle (DORV) | Texas Children’s
    https://www.texaschildrens.org/content/conditions/double-outlet-right-ventricle-dorv
    Double outlet right ventricle (DORV) is a congenital heart defect, meaning it is present at birth. It occurs when the heart doesn’t form properly during fetal development. In most cases, the cause is unknown. […] In addition, almost all babies with DORV also have a ventricular septal defect (VSD), an abnormal opening in the wall between the left and right ventricles that allows blood from each side of the heart – oxygen-rich and oxygen-poor blood – to mix together. […] For babies with DORV, this hole is helpful, providing the only way for oxygenated blood to reach the right ventricle, where the aorta is connected, and be pumped out into the body. […] Without treatment, risks include high blood pressure and heart failure. […] Surgery is required to correct double outlet right ventricle, enabling blood to flow normally out of the heart to the body and lungs.
  • #7 Double Outlet Right Ventricle (DORV) | Texas Children’s
    https://www.texaschildrens.org/content/conditions/double-outlet-right-ventricle-dorv
    Double outlet right ventricle (DORV) is a congenital heart defect, meaning it is present at birth. It occurs when the heart doesn’t form properly during fetal development. In most cases, the cause is unknown. […] In addition, almost all babies with DORV also have a ventricular septal defect (VSD), an abnormal opening in the wall between the left and right ventricles that allows blood from each side of the heart – oxygen-rich and oxygen-poor blood – to mix together. […] For babies with DORV, this hole is helpful, providing the only way for oxygenated blood to reach the right ventricle, where the aorta is connected, and be pumped out into the body. […] Without treatment, risks include high blood pressure and heart failure. […] Surgery is required to correct double outlet right ventricle, enabling blood to flow normally out of the heart to the body and lungs.
  • #8 Double-outlet right ventricle | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/double-outlet-right-ventricle
    Double-outlet right ventricle is a heart condition present at birth. That means it’s a congenital heart defect. In this condition, the lower right heart chamber has two openings for blood to exit the heart instead of one. Some of the blood from the lower right heart chamber goes to the body instead of the lungs. […] Babies with double-outlet right ventricle also have a hole between the lower heart chambers. The lower heart chambers are called the ventricles. The hole is called a ventricular septal defect. The hole causes oxygen-rich blood to mix with oxygen-poor blood. Babies with this hole may not get enough oxygen in the bloodstream. Their skin may appear gray or blue. […] Complications of double-outlet right ventricle include poor growth and heart failure. […] Most babies with double-outlet right ventricle have heart repair surgery within a few months of age. More than one type of surgery may be done. The type of surgery depends on the specific heart structure. […] A person born with double-outlet right ventricle needs regular health checkups for life. Adults should see a doctor trained in evaluating and treating congenital heart conditions. This type of doctor is called an adult congenital cardiologist.
  • #9 Double Outlet Right Ventricle in Children – Stanford Medicine Children’s Health
    https://www.stanfordchildrens.org/en/topic/default?id=double-outlet-right-ventricle-in-children-160-113
    DORV can be treated with surgery. Surgery can correct blood flow so that it moves the right way from the left ventricle to the aorta and from the right ventricle to the pulmonary artery. Surgery is also needed to fix the defect in the ventricular wall. And it can fix any other heart defects. The type of surgery will depend on the subtype and exact anatomy of the DORV and other heart problems. The timing of surgery varies. Healthcare providers may advise it soon after birth, within the first few months of life, or later. Some infants with DORV will need more than one surgery. The outcome depends on the type of DORV, other heart problems, and overall health at age of diagnosis. […] Some children with DORV also need medicine. That may especially be the case if they havent yet had surgery and they have symptoms of heart failure. Treatment will vary based on the type of DORV and the severity of symptoms. Possible treatments include: […] Most children with DORV go on to lead normal and active lives. But they will always need special follow-up care with cardiologists. Some may need follow-up surgery as adults.
  • #10 Double Outlet Right Ventricle With Transposition Treatment & Management: Medical Care, Surgical Care, Consultations
    https://emedicine.medscape.com/article/896082-treatment
    Medical treatment depends on the clinical presentation, which is determined by the differences in physiology of each type of double outlet right ventricle (DORV). […] In DORV with no pulmonary valve stenosis (PS), medical management to control congestive heart failure (CHF) and improve the patient’s condition prior to surgery should be instituted. Management of CHF requires medications such as loop diuretics (eg, furosemide), potassium-sparing diuretics (eg, spironolactone), after-load reducing agents, and digitalis. […] In neonates with DORV and PS with marked cyanosis and hypoxemia, initial medical management consists of administration of intravenous prostaglandin E1 (PGE1) to open the ductus. […] Maintain patency of the ductus arteriosus with prostaglandin E1 in newborns with markedly diminished pulmonary blood flow (PBF) from severe pulmonary valve stenosis (PS).
  • #10 Double Outlet Right Ventricle With Transposition Treatment & Management: Medical Care, Surgical Care, Consultations
    https://emedicine.medscape.com/article/896082-treatment
    The two surgical approaches to double outlet right ventricle (DORV) are palliative and corrective. […] Similar to medical management, palliative therapy helps improve the patient’s clinical condition, allowing him or her to gain weight and achieve optimal conditions for definitive surgical repair. […] Patients with subaortic or subpulmonary VSD with PS are cyanotic and have decreased PBF; therefore, they should undergo a systemic-to-PA shunt, usually a modified Blalock-Taussig anastomosis, to increase PBF. […] If biventricular repair is feasible, the 2 basic surgical steps to follow according to certain authors are (1) creation of an intracardiac tunnel to connect the LV to usually the aorta or, less commonly, the main pulmonary artery, where the conal septum is resected and any abnormal AV valve insertion on such conal septum are preserved; and (2) creation of an intracardiac or an extracardiac reconstruction to connect the RV to the main pulmonary artery.
  • #11 Double Outlet Right Ventricle With Transposition Treatment & Management: Medical Care, Surgical Care, Consultations
    https://emedicine.medscape.com/article/896082-treatment
    Medical treatment depends on the clinical presentation, which is determined by the differences in physiology of each type of double outlet right ventricle (DORV). […] In DORV with no pulmonary valve stenosis (PS), medical management to control congestive heart failure (CHF) and improve the patient’s condition prior to surgery should be instituted. Management of CHF requires medications such as loop diuretics (eg, furosemide), potassium-sparing diuretics (eg, spironolactone), after-load reducing agents, and digitalis. […] In neonates with DORV and PS with marked cyanosis and hypoxemia, initial medical management consists of administration of intravenous prostaglandin E1 (PGE1) to open the ductus. […] Maintain patency of the ductus arteriosus with prostaglandin E1 in newborns with markedly diminished pulmonary blood flow (PBF) from severe pulmonary valve stenosis (PS).
  • #12 Double Outlet Right Ventricle (DORV): Overview, Symptoms and Treatment | Nationwide Children’s Hospital
    https://www.nationwidechildrens.org/conditions/double-outlet-right-ventricle
    Double outlet right ventricle, or DORV, is a heart condition present at birth. The bodys main artery and the lung artery do not connect to the usual areas in the heart. […] Nationwide Children’s Hospital offers a team of experts focused on the treatment of double outlet right ventricle. […] At Nationwide Childrens, we provide care for double outlet right ventricle across all stages of life, from prenatal to adulthood. […] All forms of DORV will need some type of heart surgery to fix the blood flow. Most of these surgeries are a complete repair. This means that the blood flow is back to normal and the hole in the bottom chambers (VSD) is closed. […] If you are carrying a baby with a heart defect, you will still get care from your pregnancy doctor (obstetrician). […] During clinic visits, the medical team will discuss the diagnosis, treatment, recovery, and long-term outcome for your baby.
  • #13 Double Outlet Right Ventricle | Mount Sinai – New York
    https://www.mountsinai.org/locations/childrens-heart/conditions/double-outlet-right-ventricle
    If your child has a diagnosis of double outlet right ventricle (DORV), you will want to know as much as possible about the problem—and the solution. And you want to know as quickly as possible. […] Mount Sinai Kravis Children’s Heart Center provides expert advice to you and the best care for your child. Our doctors are highly trained and experienced in addressing all heart problems, including DORV. […] Our Fetal Heart Program specialists can diagnose double outlet right ventricle before your baby is born. When we detect the condition during pregnancy, our doctors will monitor mother and baby throughout the pregnancy. Your dedicated team of specialists will explain how we can help you and will develop a plan for your baby’s birth and afterward. […] To treat DORV, we may need to surgically close the ventricular septal defect (VSD) and correct blood flow—from the left ventricle into the aorta and from the right ventricle into the pulmonary artery. The approach your child’s surgeon uses depends on the specific anatomy of your child’s DORV.
  • #14 Double-Outlet Right Ventricle – Seattle Children’s Hospital
    https://www.seattlechildrens.org/conditions/double-outlet-right-ventricle/
    Double-outlet right ventricle is a birth defect of the heart. […] Children with double-outlet right ventricle need surgery to correct the condition. The exact procedures and timing depend on your child’s condition, how severe it is and whether they have other heart defects too. Usually, surgery is done within the first several days to months after birth. Often children need more than 1 surgery or procedure. […] All children with double-outlet right ventricle will need lifelong follow-up with a cardiologist who specializes in congenital heart defects. […] If your developing baby is diagnosed with double-outlet right ventricle before birth, Seattle Children’s Fetal Care and Treatment Center team works closely with you and your family to plan and prepare for any care your baby may need. […] We have a special Adult Congenital Heart Disease Program to meet your child’s long-term healthcare needs. This program, shared with the University of Washington, transitions your child to adult care when they are ready.
  • #15 Double Outlet Right Ventricle | Mount Sinai – New York
    https://www.mountsinai.org/locations/childrens-heart/conditions/double-outlet-right-ventricle
    If your child has a diagnosis of double outlet right ventricle (DORV), you will want to know as much as possible about the problem—and the solution. And you want to know as quickly as possible. […] Mount Sinai Kravis Children’s Heart Center provides expert advice to you and the best care for your child. Our doctors are highly trained and experienced in addressing all heart problems, including DORV. […] Our Fetal Heart Program specialists can diagnose double outlet right ventricle before your baby is born. When we detect the condition during pregnancy, our doctors will monitor mother and baby throughout the pregnancy. Your dedicated team of specialists will explain how we can help you and will develop a plan for your baby’s birth and afterward. […] To treat DORV, we may need to surgically close the ventricular septal defect (VSD) and correct blood flow—from the left ventricle into the aorta and from the right ventricle into the pulmonary artery. The approach your child’s surgeon uses depends on the specific anatomy of your child’s DORV.
  • #16 Double Outlet Right Ventricle (DORV): Overview, Symptoms and Treatment | Nationwide Children’s Hospital
    https://www.nationwidechildrens.org/conditions/double-outlet-right-ventricle
    Some heart conditions wont need to be fixed right away. It can be better to give your baby the chance to grow, making recovery much easier. […] At the delivery hospital, a doctor who specializes in working with sick infants (neonatologist) will manage the care of your baby. […] Your baby may need help with breathing, extra oxygen, or may need to be started on a medicine called prostaglandin E (PGE, or „prostins”). […] After surgery, your baby will go to the Cardiothoracic Intensive Care Unit (CTICU). […] Your medical team will help you decide on the safest feeding approach. […] Your hospital stay after birth may be a couple of days or as long as weeks to months. […] You and your baby will go home when they can: Breathe comfortably and with safe oxygen levels. Gain weight on a home-going feeding plan. Control their own temperature in a regular baby crib.
  • #17 Double Outlet Right Ventricle – Pediatrics – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/pediatrics/congenital-cardiovascular-anomalies/double-outlet-right-ventricle
    In double outlet right ventricle (DORV), both the aorta and pulmonary valve connect to the right ventricle. […] Medical therapy is helpful, but surgical intervention is invariably required. […] Diagnosis is with chest x-ray, MRI, CT, ECG, echocardiography, and cardiac catheterization. […] During the newborn period, prostaglandins might be needed for severe cyanosis; heart failure treatment may also be needed. […] Surgery is inevitably required; in the most common type, complete repair is possible.
  • #18 Double Outlet Right Ventricle With Transposition Treatment & Management: Medical Care, Surgical Care, Consultations
    https://emedicine.medscape.com/article/896082-treatment
    Medical treatment depends on the clinical presentation, which is determined by the differences in physiology of each type of double outlet right ventricle (DORV). […] In DORV with no pulmonary valve stenosis (PS), medical management to control congestive heart failure (CHF) and improve the patient’s condition prior to surgery should be instituted. Management of CHF requires medications such as loop diuretics (eg, furosemide), potassium-sparing diuretics (eg, spironolactone), after-load reducing agents, and digitalis. […] In neonates with DORV and PS with marked cyanosis and hypoxemia, initial medical management consists of administration of intravenous prostaglandin E1 (PGE1) to open the ductus. […] Maintain patency of the ductus arteriosus with prostaglandin E1 in newborns with markedly diminished pulmonary blood flow (PBF) from severe pulmonary valve stenosis (PS).
  • #19 Double Outlet Right Ventricle – Pediatrics – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/pediatrics/congenital-cardiovascular-anomalies/double-outlet-right-ventricle
    In double outlet right ventricle (DORV), both the aorta and pulmonary valve connect to the right ventricle. […] Medical therapy is helpful, but surgical intervention is invariably required. […] Diagnosis is with chest x-ray, MRI, CT, ECG, echocardiography, and cardiac catheterization. […] During the newborn period, prostaglandins might be needed for severe cyanosis; heart failure treatment may also be needed. […] Surgery is inevitably required; in the most common type, complete repair is possible.
  • #20 Double Outlet Right Ventricle With Transposition Treatment & Management: Medical Care, Surgical Care, Consultations
    https://emedicine.medscape.com/article/896082-treatment
    Medical treatment depends on the clinical presentation, which is determined by the differences in physiology of each type of double outlet right ventricle (DORV). […] In DORV with no pulmonary valve stenosis (PS), medical management to control congestive heart failure (CHF) and improve the patient’s condition prior to surgery should be instituted. Management of CHF requires medications such as loop diuretics (eg, furosemide), potassium-sparing diuretics (eg, spironolactone), after-load reducing agents, and digitalis. […] In neonates with DORV and PS with marked cyanosis and hypoxemia, initial medical management consists of administration of intravenous prostaglandin E1 (PGE1) to open the ductus. […] Maintain patency of the ductus arteriosus with prostaglandin E1 in newborns with markedly diminished pulmonary blood flow (PBF) from severe pulmonary valve stenosis (PS).
  • #21 Double Outlet Right Ventricle With Transposition Treatment & Management: Medical Care, Surgical Care, Consultations
    https://emedicine.medscape.com/article/896082-treatment
    Medical treatment depends on the clinical presentation, which is determined by the differences in physiology of each type of double outlet right ventricle (DORV). […] In DORV with no pulmonary valve stenosis (PS), medical management to control congestive heart failure (CHF) and improve the patient’s condition prior to surgery should be instituted. Management of CHF requires medications such as loop diuretics (eg, furosemide), potassium-sparing diuretics (eg, spironolactone), after-load reducing agents, and digitalis. […] In neonates with DORV and PS with marked cyanosis and hypoxemia, initial medical management consists of administration of intravenous prostaglandin E1 (PGE1) to open the ductus. […] Maintain patency of the ductus arteriosus with prostaglandin E1 in newborns with markedly diminished pulmonary blood flow (PBF) from severe pulmonary valve stenosis (PS).
  • #22 Double Outlet Right Ventricle (DORV): Overview, Symptoms and Treatment | Nationwide Children’s Hospital
    https://www.nationwidechildrens.org/conditions/double-outlet-right-ventricle
    Some heart conditions wont need to be fixed right away. It can be better to give your baby the chance to grow, making recovery much easier. […] At the delivery hospital, a doctor who specializes in working with sick infants (neonatologist) will manage the care of your baby. […] Your baby may need help with breathing, extra oxygen, or may need to be started on a medicine called prostaglandin E (PGE, or „prostins”). […] After surgery, your baby will go to the Cardiothoracic Intensive Care Unit (CTICU). […] Your medical team will help you decide on the safest feeding approach. […] Your hospital stay after birth may be a couple of days or as long as weeks to months. […] You and your baby will go home when they can: Breathe comfortably and with safe oxygen levels. Gain weight on a home-going feeding plan. Control their own temperature in a regular baby crib.
  • #23 Double Outlet Right Ventricle With Transposition Treatment & Management: Medical Care, Surgical Care, Consultations
    https://emedicine.medscape.com/article/896082-treatment
    Medical treatment depends on the clinical presentation, which is determined by the differences in physiology of each type of double outlet right ventricle (DORV). […] In DORV with no pulmonary valve stenosis (PS), medical management to control congestive heart failure (CHF) and improve the patient’s condition prior to surgery should be instituted. Management of CHF requires medications such as loop diuretics (eg, furosemide), potassium-sparing diuretics (eg, spironolactone), after-load reducing agents, and digitalis. […] In neonates with DORV and PS with marked cyanosis and hypoxemia, initial medical management consists of administration of intravenous prostaglandin E1 (PGE1) to open the ductus. […] Maintain patency of the ductus arteriosus with prostaglandin E1 in newborns with markedly diminished pulmonary blood flow (PBF) from severe pulmonary valve stenosis (PS).
  • #24 Double Outlet Right Ventricle With Transposition Treatment & Management: Medical Care, Surgical Care, Consultations
    https://emedicine.medscape.com/article/896082-treatment
    Medical treatment depends on the clinical presentation, which is determined by the differences in physiology of each type of double outlet right ventricle (DORV). […] In DORV with no pulmonary valve stenosis (PS), medical management to control congestive heart failure (CHF) and improve the patient’s condition prior to surgery should be instituted. Management of CHF requires medications such as loop diuretics (eg, furosemide), potassium-sparing diuretics (eg, spironolactone), after-load reducing agents, and digitalis. […] In neonates with DORV and PS with marked cyanosis and hypoxemia, initial medical management consists of administration of intravenous prostaglandin E1 (PGE1) to open the ductus. […] Maintain patency of the ductus arteriosus with prostaglandin E1 in newborns with markedly diminished pulmonary blood flow (PBF) from severe pulmonary valve stenosis (PS).
  • #25 Double Outlet Right Ventricle
    https://healthlibrary.somc.org/Library/Wellness/TodaysMedicine/3,90590
    Some children with DORV also need medicine. The kind of medicine depends on the type of DORV and how serious the symptoms are. Medicine may include: Water pills (diuretics) to reduce swelling, ACE inhibitors or digoxin to make it easier for the heart to pump blood to the rest of the body, Beta-blockers to reduce how hard the heart pumps, Blood thinners (anticoagulants) to prevent blood clots, Antibiotics before certain medical and dental procedures to prevent infection. […] Most children with DORV go on to lead normal and active lives. But they will need to see a heart specialist regularly. Some may need more surgery as adults.
  • #26 Double Outlet Right Ventricle in Children
    https://methodisthealthsystem.staywellsolutionsonline.com/Library/Encyclopedia/160,113
    Some children with DORV also need medicine. That may especially be the case if they haven’t yet had surgery and they have symptoms of heart failure. Treatment will vary based on the type of DORV and the severity of symptoms. […] Most children with DORV go on to lead normal and active lives. But they will always need special follow-up care with cardiologists. Some may need follow-up surgery as adults. […] Your child’s healthcare provider may give you more directions about helping your child manage DORV. But be sure to do the following: Ask the provider what kind of exercise is right for your child. Teach your child to eat a heart-healthy diet. Tell your child’s providers and dentists about your child’s DORV. Be sure your child sees a specialist in congenital heart disease regularly. […] Call your child’s healthcare provider right away if your child has a hard time breathing or has other severe symptoms.
  • #27 Double Outlet Right Ventricle (DORV)
    https://my.clevelandclinic.org/health/diseases/14733-double-outlet-right-ventricle
    Double outlet right ventricle (DORV) describes a heart with two major arteries linking to its right ventricle (heart chamber). […] Surgery repairs the problem, but children born with DORV need lifelong follow-up care. […] Almost all babies with DORV need open-heart surgery within their first year of life. […] Your healthcare provider will help you make decisions about surgery by considering: Other issues with your baby’s heart or other organs. Their overall health. The type of DORV they have. […] Your baby’s surgeon may take one of the following approaches to double outlet right ventricle repair: Intraventricular repair: The surgeon creates a tunnel through the VSD to connect the aorta to the left ventricle. Biventricular repair or arterial switch: If both ventricles are in good shape and the DORV has a subpulmonary VSD (Taussig-Bing heart), the surgeon may recommend moving the aorta to the left ventricle. Univentricular repair: For more complex cases of DORV, the surgeon may recommend a Fontan operation. It redirects blood flow from your child’s lower body to their lungs.
  • #28 Double Outlet Right Ventricle (DORV) | Texas Children’s
    https://www.texaschildrens.org/content/conditions/double-outlet-right-ventricle-dorv
    The timing and type of surgery depends on each baby’s defect, other heart abnormalities, and overall health. If symptoms are severe, the surgery may be performed the first few days after birth. In complex cases, a series of surgeries may be required. […] Babies born with DORV will need to continue to see a heart specialist throughout their lives, transitioning at adulthood to a cardiologist who specializes in the treatment of adults with congenital heart defects.
  • #29 Double Outlet Right Ventricle | Cleveland Clinic Children’s
    https://my.clevelandclinic.org/pediatrics/services/double-outlet-right-ventricle-treatment
    It can be a big shock to learn your baby has a serious heart problem. […] Double outlet right ventricle (DORV), is a congenital (born with it) condition that can be repaired early with surgery usually within your childs first year. […] We treat children with DORV from birth, or even before birth. And we provide a lifetime of follow-up care and specialized treatment thats personalized to your childs needs and health. […] Most children with DORV need surgery. If your child is diagnosed with DORV before or at birth, we may suggest one of several kinds of surgery. […] Our pediatric heart surgeons are highly skilled and extremely experienced. […] We want to ease your fears and put your child on the path to recovery with the best possible outcomes. […] Your baby will usually need to spend at least one to two weeks in the hospital after heart surgery. During this time, theyll have supervised 24-hour care. […] After treatment ends, our pediatric cardiologists will continue to see your child for regular follow-up exams. […] At Cleveland Clinic Childrens, were here to help make that happen with skilled, personalized, compassionate care.
  • #30 Double Outlet Right Ventricle (DORV)
    https://my.clevelandclinic.org/health/diseases/14733-double-outlet-right-ventricle
    Double outlet right ventricle (DORV) describes a heart with two major arteries linking to its right ventricle (heart chamber). […] Surgery repairs the problem, but children born with DORV need lifelong follow-up care. […] Almost all babies with DORV need open-heart surgery within their first year of life. […] Your healthcare provider will help you make decisions about surgery by considering: Other issues with your baby’s heart or other organs. Their overall health. The type of DORV they have. […] Your baby’s surgeon may take one of the following approaches to double outlet right ventricle repair: Intraventricular repair: The surgeon creates a tunnel through the VSD to connect the aorta to the left ventricle. Biventricular repair or arterial switch: If both ventricles are in good shape and the DORV has a subpulmonary VSD (Taussig-Bing heart), the surgeon may recommend moving the aorta to the left ventricle. Univentricular repair: For more complex cases of DORV, the surgeon may recommend a Fontan operation. It redirects blood flow from your child’s lower body to their lungs.
  • #31 Double Outlet Right Ventricle (DORV)
    https://my.clevelandclinic.org/health/diseases/14733-double-outlet-right-ventricle
    Double outlet right ventricle (DORV) describes a heart with two major arteries linking to its right ventricle (heart chamber). […] Surgery repairs the problem, but children born with DORV need lifelong follow-up care. […] Almost all babies with DORV need open-heart surgery within their first year of life. […] Your healthcare provider will help you make decisions about surgery by considering: Other issues with your baby’s heart or other organs. Their overall health. The type of DORV they have. […] Your baby’s surgeon may take one of the following approaches to double outlet right ventricle repair: Intraventricular repair: The surgeon creates a tunnel through the VSD to connect the aorta to the left ventricle. Biventricular repair or arterial switch: If both ventricles are in good shape and the DORV has a subpulmonary VSD (Taussig-Bing heart), the surgeon may recommend moving the aorta to the left ventricle. Univentricular repair: For more complex cases of DORV, the surgeon may recommend a Fontan operation. It redirects blood flow from your child’s lower body to their lungs.
  • #32 Double-outlet right ventricle – Overview – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/double-outlet-right-ventricle/cdc-20389537
    Most babies with double-outlet right ventricle have heart repair surgery within a few months of age. More than one type of surgery may be done. The type of surgery depends on the specific heart structure. […] The heart surgeon may do one or more of the following to treat double-outlet right ventricle: Create a pathway in the heart to connect the lower left heart chamber to the body’s main artery, called the aorta. Use a patch, called a baffle, to fix the hole in the heart. Fix the aorta and pulmonary artery positions if they’re reversed. Connect the lower right heart chamber to the pulmonary artery, if necessary. Widen the natural pathway to the lungs if it’s narrowed. […] Other surgeries might be needed later in life. A person born with double-outlet right ventricle needs regular health checkups for life. Adults should see a doctor trained in evaluating and treating congenital heart conditions. This type of doctor is called an adult congenital cardiologist.
  • #33 Double Outlet Right Ventricle (DORV) | Rady Children’s Hospital
    https://www.rchsd.org/health-article/double-outlet-right-ventricle-dorv/
    Double outlet right ventricle (DORV) is a heart defect where the aorta connects to the heart in the wrong place. DORV is a congenital heart defect, which means a baby who has it is born with it. […] Surgery is needed to correct the problem. […] DORV is due to an error in the way the heart forms very early in pregnancy. […] Doctors and scientists have not yet found a way to prevent DORV. […] Surgery is needed to correct DORV. Medicines might help the heart work better, but a baby with DORV cannot get better for long without surgery. […] The main types of surgery used are intraventricular repair, arterial switch, and single ventricle pathway. More than one surgery might be needed to get the heart working as well as possible. […] Extra pressure on blood going to the lungs of babies with DORV can damage the lungs blood vessels and lead to heart failure. Because problems like this and others are likely, infants with surgically corrected DORV must continue to see a cardiologist (a doctor who treats heart problems) through childhood, adolescence, and adulthood.
  • #34 Double-outlet right ventricle – Overview – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/double-outlet-right-ventricle/cdc-20389537
    Most babies with double-outlet right ventricle have heart repair surgery within a few months of age. More than one type of surgery may be done. The type of surgery depends on the specific heart structure. […] The heart surgeon may do one or more of the following to treat double-outlet right ventricle: Create a pathway in the heart to connect the lower left heart chamber to the body’s main artery, called the aorta. Use a patch, called a baffle, to fix the hole in the heart. Fix the aorta and pulmonary artery positions if they’re reversed. Connect the lower right heart chamber to the pulmonary artery, if necessary. Widen the natural pathway to the lungs if it’s narrowed. […] Other surgeries might be needed later in life. A person born with double-outlet right ventricle needs regular health checkups for life. Adults should see a doctor trained in evaluating and treating congenital heart conditions. This type of doctor is called an adult congenital cardiologist.
  • #35 Double Outlet Right Ventricle (DORV): Overview, Symptoms and Treatment | Nationwide Children’s Hospital
    https://www.nationwidechildrens.org/conditions/double-outlet-right-ventricle
    Some heart conditions wont need to be fixed right away. It can be better to give your baby the chance to grow, making recovery much easier. […] At the delivery hospital, a doctor who specializes in working with sick infants (neonatologist) will manage the care of your baby. […] Your baby may need help with breathing, extra oxygen, or may need to be started on a medicine called prostaglandin E (PGE, or „prostins”). […] After surgery, your baby will go to the Cardiothoracic Intensive Care Unit (CTICU). […] Your medical team will help you decide on the safest feeding approach. […] Your hospital stay after birth may be a couple of days or as long as weeks to months. […] You and your baby will go home when they can: Breathe comfortably and with safe oxygen levels. Gain weight on a home-going feeding plan. Control their own temperature in a regular baby crib.
  • #36 Double Outlet Right Ventricle (DORV): Overview, Symptoms and Treatment | Nationwide Children’s Hospital
    https://www.nationwidechildrens.org/conditions/double-outlet-right-ventricle
    Some heart conditions wont need to be fixed right away. It can be better to give your baby the chance to grow, making recovery much easier. […] At the delivery hospital, a doctor who specializes in working with sick infants (neonatologist) will manage the care of your baby. […] Your baby may need help with breathing, extra oxygen, or may need to be started on a medicine called prostaglandin E (PGE, or „prostins”). […] After surgery, your baby will go to the Cardiothoracic Intensive Care Unit (CTICU). […] Your medical team will help you decide on the safest feeding approach. […] Your hospital stay after birth may be a couple of days or as long as weeks to months. […] You and your baby will go home when they can: Breathe comfortably and with safe oxygen levels. Gain weight on a home-going feeding plan. Control their own temperature in a regular baby crib.
  • #37 Double Outlet Right Ventricle | Cleveland Clinic Children’s
    https://my.clevelandclinic.org/pediatrics/services/double-outlet-right-ventricle-treatment
    It can be a big shock to learn your baby has a serious heart problem. […] Double outlet right ventricle (DORV), is a congenital (born with it) condition that can be repaired early with surgery usually within your childs first year. […] We treat children with DORV from birth, or even before birth. And we provide a lifetime of follow-up care and specialized treatment thats personalized to your childs needs and health. […] Most children with DORV need surgery. If your child is diagnosed with DORV before or at birth, we may suggest one of several kinds of surgery. […] Our pediatric heart surgeons are highly skilled and extremely experienced. […] We want to ease your fears and put your child on the path to recovery with the best possible outcomes. […] Your baby will usually need to spend at least one to two weeks in the hospital after heart surgery. During this time, theyll have supervised 24-hour care. […] After treatment ends, our pediatric cardiologists will continue to see your child for regular follow-up exams. […] At Cleveland Clinic Childrens, were here to help make that happen with skilled, personalized, compassionate care.
  • #38 Double Outlet Right Ventricle (DORV) | Dayton, Ohio
    http://fetaltonewborn.org/double-outlet-right-ventricle-dorv/
    Babies diagnosed with double outlet right ventricle (DORV) are born with a heart defect in which both arteries arise from the right ventricle instead of one from each ventricle. This is a problem because it often allows too much blood to flow to the lungs and not enough to flow to the body or vice versa. […] If your baby has DORV, doctors will repair the VSD and reroute blood from the left ventricle into the aorta during surgery. Surgery may also be needed to repair or replace the pulmonary valve if it is abnormal. […] During surgery, your baby will be given general anesthesia, which means the baby will be comfortable and sleeping. After surgery, your baby will need to stay in a cardiac intensive care unit (CICU) for the first few days and may be connected to several tubes and wires to allow your babys doctor to best monitor the babys condition. Pain control will be used to make sure your baby is comfortable. […] Most of the tubes and wires will be disconnected before your baby leaves the CICU, after which he or she will spend several more days in the hospital in a step down unit.
  • #39 Double Outlet Right Ventricle (DORV) | Dayton, Ohio
    http://fetaltonewborn.org/double-outlet-right-ventricle-dorv/
    Babies diagnosed with double outlet right ventricle (DORV) are born with a heart defect in which both arteries arise from the right ventricle instead of one from each ventricle. This is a problem because it often allows too much blood to flow to the lungs and not enough to flow to the body or vice versa. […] If your baby has DORV, doctors will repair the VSD and reroute blood from the left ventricle into the aorta during surgery. Surgery may also be needed to repair or replace the pulmonary valve if it is abnormal. […] During surgery, your baby will be given general anesthesia, which means the baby will be comfortable and sleeping. After surgery, your baby will need to stay in a cardiac intensive care unit (CICU) for the first few days and may be connected to several tubes and wires to allow your babys doctor to best monitor the babys condition. Pain control will be used to make sure your baby is comfortable. […] Most of the tubes and wires will be disconnected before your baby leaves the CICU, after which he or she will spend several more days in the hospital in a step down unit.
  • #40 Double Outlet Right Ventricle (DORV): Overview, Symptoms and Treatment | Nationwide Children’s Hospital
    https://www.nationwidechildrens.org/conditions/double-outlet-right-ventricle
    Some heart conditions wont need to be fixed right away. It can be better to give your baby the chance to grow, making recovery much easier. […] At the delivery hospital, a doctor who specializes in working with sick infants (neonatologist) will manage the care of your baby. […] Your baby may need help with breathing, extra oxygen, or may need to be started on a medicine called prostaglandin E (PGE, or „prostins”). […] After surgery, your baby will go to the Cardiothoracic Intensive Care Unit (CTICU). […] Your medical team will help you decide on the safest feeding approach. […] Your hospital stay after birth may be a couple of days or as long as weeks to months. […] You and your baby will go home when they can: Breathe comfortably and with safe oxygen levels. Gain weight on a home-going feeding plan. Control their own temperature in a regular baby crib.
  • #41 Double Outlet Right Ventricle (DORV)
    https://my.clevelandclinic.org/health/diseases/14733-double-outlet-right-ventricle
    Most babies have good outcomes from surgery for DORV. But any heart surgery has risks, such as: Bleeding. Blood clots, which can cause a stroke or heart attack. Infection. Problems coming out of anesthesia. Respiratory failure. Unusual heart rhythms and heart block. […] It’s important to take your child to their follow-up appointments to make sure they’re not developing any issues. […] Because of the risk of infective endocarditis, some people with double outlet right ventricle need to take antibiotics before certain dental procedures. […] Even after a surgical repair for double outlet right ventricle, a baby can have abnormal heart rhythms. Some people can develop heart failure years later. […] Take your child to the emergency room if they’re having trouble breathing and/or their nails, lips or skin have a blue tint. […] Surgery and regular checkups can help people born with double outlet right ventricle live healthier, longer lives.
  • #42 Double Outlet Right Ventricle (DORV)
    https://my.clevelandclinic.org/health/diseases/14733-double-outlet-right-ventricle
    Most babies have good outcomes from surgery for DORV. But any heart surgery has risks, such as: Bleeding. Blood clots, which can cause a stroke or heart attack. Infection. Problems coming out of anesthesia. Respiratory failure. Unusual heart rhythms and heart block. […] It’s important to take your child to their follow-up appointments to make sure they’re not developing any issues. […] Because of the risk of infective endocarditis, some people with double outlet right ventricle need to take antibiotics before certain dental procedures. […] Even after a surgical repair for double outlet right ventricle, a baby can have abnormal heart rhythms. Some people can develop heart failure years later. […] Take your child to the emergency room if they’re having trouble breathing and/or their nails, lips or skin have a blue tint. […] Surgery and regular checkups can help people born with double outlet right ventricle live healthier, longer lives.
  • #43 Double Outlet Right Ventricle | Children’s Hospital of Philadelphia
    https://www.chop.edu/conditions-diseases/double-outlet-right-ventricle
    Double outlet right ventricle (DORV) is a form of a congenital heart disease in which both great arteries are connected to the right ventricle instead of one great artery connected to each ventricle. […] DORV requires open heart surgery. Medication may also be necessary early on to help the heart function better before and after surgical intervention. […] Follow-up care for double outlet right ventricle depends on the type of surgical procedure that was performed, and whether additional surgeries are expected to be needed throughout the child’s life. […] Children who were born with double outlet right ventricle must continue to see a pediatric cardiologist regularly.
  • #44 Double-Outlet Right Ventricle – Seattle Children’s Hospital
    https://www.seattlechildrens.org/conditions/double-outlet-right-ventricle/
    Double-outlet right ventricle is a birth defect of the heart. […] Children with double-outlet right ventricle need surgery to correct the condition. The exact procedures and timing depend on your child’s condition, how severe it is and whether they have other heart defects too. Usually, surgery is done within the first several days to months after birth. Often children need more than 1 surgery or procedure. […] All children with double-outlet right ventricle will need lifelong follow-up with a cardiologist who specializes in congenital heart defects. […] If your developing baby is diagnosed with double-outlet right ventricle before birth, Seattle Children’s Fetal Care and Treatment Center team works closely with you and your family to plan and prepare for any care your baby may need. […] We have a special Adult Congenital Heart Disease Program to meet your child’s long-term healthcare needs. This program, shared with the University of Washington, transitions your child to adult care when they are ready.
  • #45 Double Outlet Right Ventricle | Children’s Hospital of Philadelphia
    https://www.chop.edu/conditions-diseases/double-outlet-right-ventricle
    Double outlet right ventricle (DORV) is a form of a congenital heart disease in which both great arteries are connected to the right ventricle instead of one great artery connected to each ventricle. […] DORV requires open heart surgery. Medication may also be necessary early on to help the heart function better before and after surgical intervention. […] Follow-up care for double outlet right ventricle depends on the type of surgical procedure that was performed, and whether additional surgeries are expected to be needed throughout the child’s life. […] Children who were born with double outlet right ventricle must continue to see a pediatric cardiologist regularly.
  • #46 Double Outlet Right Ventricle With Transposition Treatment & Management: Medical Care, Surgical Care, Consultations
    https://emedicine.medscape.com/article/896082-treatment
    Provide follow-up care every 6-12 months for the first few years after surgery to detect complications of surgery that may include arrhythmias (eg, persistent atrial tachycardias, complex ventricular ectopy) and stenosis or partial obstruction, or both, of the interventricular tunnel. […] Lifelong antibiotic prophylaxis is necessary prior to any potentially contaminated procedure, especially dental work.
  • #47 Double-outlet right ventricle – Overview – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/double-outlet-right-ventricle/cdc-20389537
    Most babies with double-outlet right ventricle have heart repair surgery within a few months of age. More than one type of surgery may be done. The type of surgery depends on the specific heart structure. […] The heart surgeon may do one or more of the following to treat double-outlet right ventricle: Create a pathway in the heart to connect the lower left heart chamber to the body’s main artery, called the aorta. Use a patch, called a baffle, to fix the hole in the heart. Fix the aorta and pulmonary artery positions if they’re reversed. Connect the lower right heart chamber to the pulmonary artery, if necessary. Widen the natural pathway to the lungs if it’s narrowed. […] Other surgeries might be needed later in life. A person born with double-outlet right ventricle needs regular health checkups for life. Adults should see a doctor trained in evaluating and treating congenital heart conditions. This type of doctor is called an adult congenital cardiologist.
  • #48 Double outlet right ventricle (DORV) | Norton Children’s Louisville, Ky.
    https://nortonchildrens.com/services/cardiology/conditions/congenital-heart-disease/double-outlet-right-ventricle/
    Double outlet right ventricle (DORV) is a congenital heart defect that causes the aorta to be connected to the heart in the wrong place. […] Surgery is needed to correct DORV. Medicines might help the heart work better, but a baby with DORV cannot get better for long without surgery. […] Infants who have a repaired DORV will need to see a pediatric cardiologist throughout childhood, adolescence and adulthood. When the child becomes an adult, an adult congenital heart defect specialist can continue to provide care.
  • #49 Double-Outlet Right Ventricle – Seattle Children’s Hospital
    https://www.seattlechildrens.org/conditions/double-outlet-right-ventricle/
    Double-outlet right ventricle is a birth defect of the heart. […] Children with double-outlet right ventricle need surgery to correct the condition. The exact procedures and timing depend on your child’s condition, how severe it is and whether they have other heart defects too. Usually, surgery is done within the first several days to months after birth. Often children need more than 1 surgery or procedure. […] All children with double-outlet right ventricle will need lifelong follow-up with a cardiologist who specializes in congenital heart defects. […] If your developing baby is diagnosed with double-outlet right ventricle before birth, Seattle Children’s Fetal Care and Treatment Center team works closely with you and your family to plan and prepare for any care your baby may need. […] We have a special Adult Congenital Heart Disease Program to meet your child’s long-term healthcare needs. This program, shared with the University of Washington, transitions your child to adult care when they are ready.
  • #50 Double Outlet Right Ventricle (DORV)
    https://my.clevelandclinic.org/health/diseases/14733-double-outlet-right-ventricle
    Most babies have good outcomes from surgery for DORV. But any heart surgery has risks, such as: Bleeding. Blood clots, which can cause a stroke or heart attack. Infection. Problems coming out of anesthesia. Respiratory failure. Unusual heart rhythms and heart block. […] It’s important to take your child to their follow-up appointments to make sure they’re not developing any issues. […] Because of the risk of infective endocarditis, some people with double outlet right ventricle need to take antibiotics before certain dental procedures. […] Even after a surgical repair for double outlet right ventricle, a baby can have abnormal heart rhythms. Some people can develop heart failure years later. […] Take your child to the emergency room if they’re having trouble breathing and/or their nails, lips or skin have a blue tint. […] Surgery and regular checkups can help people born with double outlet right ventricle live healthier, longer lives.
  • #51 Double outlet right ventricle : MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/007328.htm
    Double outlet right ventricle (DORV) is a heart disease that is present from birth (congenital). The aorta connects to the right ventricle (RV, the chamber of the heart that pumps oxygen-poor blood to the lungs), instead of to the left ventricle (LV, the chamber that normally pumps oxygen-rich blood to the body). […] Treatment requires surgery to close the hole in the heart and direct blood from the left ventricle into the aorta. Surgery may also be needed to move the pulmonary artery or aorta. […] Children with this heart condition may need to take antibiotics before surgeries or dental treatments. This prevents infections in the heart. […] Contact your health care provider if your child seems to tire easily, has trouble breathing, or has bluish skin or lips. You should also consult your provider if your baby is not growing or gaining weight.
  • #52 Double Outlet Right Ventricle With Transposition Treatment & Management: Medical Care, Surgical Care, Consultations
    https://emedicine.medscape.com/article/896082-treatment
    Provide follow-up care every 6-12 months for the first few years after surgery to detect complications of surgery that may include arrhythmias (eg, persistent atrial tachycardias, complex ventricular ectopy) and stenosis or partial obstruction, or both, of the interventricular tunnel. […] Lifelong antibiotic prophylaxis is necessary prior to any potentially contaminated procedure, especially dental work.
  • #53 Double-outlet right ventricle
    https://johnsonmemorial.org/jmh-health/disease-conditions/con-20359709
    A person born with double-outlet right ventricle needs regular health checkups for life. Adults should see a health care provider trained in evaluating and treating congenital heart conditions. This type of provider is called an adult congenital cardiologist. […] Later in life, surgery may be needed if a heart valve is narrowed or leaks blood backward. […] Some adults born with double-outlet right ventricle need medicine to help the right or left lower heart chambers work better.
  • #54 Double-outlet right ventricle
    https://johnsonmemorial.org/jmh-health/disease-conditions/con-20359709
    A person born with double-outlet right ventricle needs regular health checkups for life. Adults should see a health care provider trained in evaluating and treating congenital heart conditions. This type of provider is called an adult congenital cardiologist. […] Later in life, surgery may be needed if a heart valve is narrowed or leaks blood backward. […] Some adults born with double-outlet right ventricle need medicine to help the right or left lower heart chambers work better.
  • #55 Double Outlet Right Ventricle in Children
    https://methodisthealthsystem.staywellsolutionsonline.com/Library/Encyclopedia/160,113
    Some children with DORV also need medicine. That may especially be the case if they haven’t yet had surgery and they have symptoms of heart failure. Treatment will vary based on the type of DORV and the severity of symptoms. […] Most children with DORV go on to lead normal and active lives. But they will always need special follow-up care with cardiologists. Some may need follow-up surgery as adults. […] Your child’s healthcare provider may give you more directions about helping your child manage DORV. But be sure to do the following: Ask the provider what kind of exercise is right for your child. Teach your child to eat a heart-healthy diet. Tell your child’s providers and dentists about your child’s DORV. Be sure your child sees a specialist in congenital heart disease regularly. […] Call your child’s healthcare provider right away if your child has a hard time breathing or has other severe symptoms.
  • #56 Double-Outlet Right Ventricle in Children – Care Options for Kids
    https://careoptionsforkids.com/blog/double-outlet-right-ventricle-in-children
    Caring for a child with DORV requires patience, vigilance, and a multidisciplinary approach involving cardiologists, surgeons, nurses, and other healthcare professionals. Here are some essential aspects to consider: […] Children with DORV need regular check-ups to monitor their heart function, growth, and overall health. […] Your child might need medications to manage heart function, and fluid balance, and prevent infections. Adhering to the prescribed medication schedule is crucial. […] Encourage a balanced diet, regular exercise (as approved by the medical team), and maintaining a healthy weight to support your child’s heart health. […] Caring for a child with a complex heart condition can be emotionally challenging. Seek support from family, friends, and support groups to navigate the journey.
  • #57 Double-Outlet Right Ventricle in Children – Care Options for Kids
    https://careoptionsforkids.com/blog/double-outlet-right-ventricle-in-children
    Caring for a child with DORV requires patience, vigilance, and a multidisciplinary approach involving cardiologists, surgeons, nurses, and other healthcare professionals. Here are some essential aspects to consider: […] Children with DORV need regular check-ups to monitor their heart function, growth, and overall health. […] Your child might need medications to manage heart function, and fluid balance, and prevent infections. Adhering to the prescribed medication schedule is crucial. […] Encourage a balanced diet, regular exercise (as approved by the medical team), and maintaining a healthy weight to support your child’s heart health. […] Caring for a child with a complex heart condition can be emotionally challenging. Seek support from family, friends, and support groups to navigate the journey.
  • #58 Double-Outlet Right Ventricle in Children – Care Options for Kids
    https://careoptionsforkids.com/blog/double-outlet-right-ventricle-in-children
    Caring for a child with DORV requires patience, vigilance, and a multidisciplinary approach involving cardiologists, surgeons, nurses, and other healthcare professionals. Here are some essential aspects to consider: […] Children with DORV need regular check-ups to monitor their heart function, growth, and overall health. […] Your child might need medications to manage heart function, and fluid balance, and prevent infections. Adhering to the prescribed medication schedule is crucial. […] Encourage a balanced diet, regular exercise (as approved by the medical team), and maintaining a healthy weight to support your child’s heart health. […] Caring for a child with a complex heart condition can be emotionally challenging. Seek support from family, friends, and support groups to navigate the journey.
  • #59 Partners in Care | Double Outlet Right Ventricle treatment at the…
    https://partnersincare.health/conditions/double-outlet-right-ventricle
    Double outlet right ventricle (DORV) is a congenital heart defect in which both of the great arteries (the pulmonary artery and the aorta) connect to the right ventricle. […] A hole between the two pumping chambers of the heart (ventricular septal defect) is always present in patients with DORV. This allows the mixing of oxygen-rich and oxygen-poor blood and causes the blood to not be as oxygenated as it should be. […] While medications can be used to help children, who have too much blood going to their lungs, feel better and grow larger in size, surgery is needed to repair the defect and connect the great arteries with their correct pumping chambers. […] The Texas Center for Pediatric and Congenital Heart Disease, a clinical partnership between Dell Childrens Medical Center and UT Health Austin, takes a multidisciplinary approach to your childs care. This means your child and your family will benefit from the expertise of multiple specialists across a variety of disciplines. Your care team will include pediatric cardiologists, cardiothoracic surgeons, interventional cardiologists, critical care specialists, hospitalists, anesthesiologists, perfusionists, nurses, advanced practice providers, social workers, psychologists, child life specialists, dietitians, physical and occupational therapists, pharmacists, and more, who work together to provide unparalleled care for patients every step of the way.
  • #60 Double Outlet Right Ventricle (DORV): Michael’s Story | Children’s Hospital of Philadelphia
    https://www.chop.edu/stories/double-outlet-right-ventricle-dorv-michaels-story
    Michael was diagnosed with a rare heart defect: double outlet right ventricle (in which both great arteries are attached to the right ventricle) with pulmonary stenosis (a narrowing and thickening of the pulmonary valve). […] At CHOP, Michael was able to get the intensive pediatric cardiac care he needed. At ten days old, he was put on ECMO, a heart and lung bypass machine, to keep him alive until he was able to have the first of the several surgeries he would require. […] The Cardiac Kids Developmental Follow-up Program was created to provide coordinated care for these children. The program provides screening, evaluation and coordinated care from a multidisciplinary team of experts that includes cardiologists, pediatricians, nurses, psychologists, social workers, and physical, speech and occupational therapists. […] We’ve had so many people who have been so supportive. During a time when we felt like our world was spinning out of control, the doctors and nurses at CHOP have given us reassurance, security and hope.
  • #61 Double-Outlet Right Ventricle in Children – Care Options for Kids
    https://careoptionsforkids.com/blog/double-outlet-right-ventricle-in-children
    Learn about DORV, its treatments, and potential complications to make informed decisions and advocate effectively for your child’s care. […] Double-outlet right ventricle is a complex heart defect requiring careful management and support. With advancements in medical technology and expertise, children diagnosed with DORV have a better chance of leading fulfilling lives. Parents and caregivers can offer their children the best chance at a healthy and vibrant future by staying informed, partnering with healthcare professionals, and providing unconditional love and care.
  • #62 Double Outlet Right Ventricle Treatment: Symptoms & Causes Explained – The Kingsley Clinic
    https://thekingsleyclinic.com/resources/double-outlet-right-ventricle-treatment-symptoms-causes-explained/
    While medical and surgical treatments are essential for managing DORV, certain lifestyle adjustments can support overall heart health. […] Seek medical attention if you experience symptoms like difficulty breathing, fatigue, or swelling, as these may indicate worsening heart function. […] Managing DORV requires a proactive approach to health. Regular follow-ups with your healthcare provider, adherence to prescribed medications, and maintaining a healthy lifestyle can significantly enhance your quality of life. […] Early intervention is crucial to preventing complications and achieving the best outcomes.
  • #63 Double Outlet Right Ventricle
    https://healthlibrary.touro.com/Library/HealthSheets/3,90590
    Early treatment can lower the chance of later problems, such as heart failure and infection of the heart valves. […] Most children with DORV go on to lead normal and active lives. But they will need to see a heart specialist regularly. Some may need more surgery as adults. […] You will be told how to care for your child and about medicines your child needs. Be alert for any changes in your child’s behavior or increased symptoms. These could be a warning for something else. […] Call your childs healthcare provider right away, or seek immediate care, if your child has a hard time breathing, trouble feeding, weight loss, swelling (edema), extreme tiredness (fatigue), or other severe symptoms.
  • #64 Double Outlet Right Ventricle in Children
    https://methodisthealthsystem.staywellsolutionsonline.com/Library/Encyclopedia/160,113
    Some children with DORV also need medicine. That may especially be the case if they haven’t yet had surgery and they have symptoms of heart failure. Treatment will vary based on the type of DORV and the severity of symptoms. […] Most children with DORV go on to lead normal and active lives. But they will always need special follow-up care with cardiologists. Some may need follow-up surgery as adults. […] Your child’s healthcare provider may give you more directions about helping your child manage DORV. But be sure to do the following: Ask the provider what kind of exercise is right for your child. Teach your child to eat a heart-healthy diet. Tell your child’s providers and dentists about your child’s DORV. Be sure your child sees a specialist in congenital heart disease regularly. […] Call your child’s healthcare provider right away if your child has a hard time breathing or has other severe symptoms.
  • #65 Double Outlet Right Ventricle (DORV)
    https://my.clevelandclinic.org/health/diseases/14733-double-outlet-right-ventricle
    Most babies have good outcomes from surgery for DORV. But any heart surgery has risks, such as: Bleeding. Blood clots, which can cause a stroke or heart attack. Infection. Problems coming out of anesthesia. Respiratory failure. Unusual heart rhythms and heart block. […] It’s important to take your child to their follow-up appointments to make sure they’re not developing any issues. […] Because of the risk of infective endocarditis, some people with double outlet right ventricle need to take antibiotics before certain dental procedures. […] Even after a surgical repair for double outlet right ventricle, a baby can have abnormal heart rhythms. Some people can develop heart failure years later. […] Take your child to the emergency room if they’re having trouble breathing and/or their nails, lips or skin have a blue tint. […] Surgery and regular checkups can help people born with double outlet right ventricle live healthier, longer lives.
  • #66 Double outlet right ventricle : MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/007328.htm
    Double outlet right ventricle (DORV) is a heart disease that is present from birth (congenital). The aorta connects to the right ventricle (RV, the chamber of the heart that pumps oxygen-poor blood to the lungs), instead of to the left ventricle (LV, the chamber that normally pumps oxygen-rich blood to the body). […] Treatment requires surgery to close the hole in the heart and direct blood from the left ventricle into the aorta. Surgery may also be needed to move the pulmonary artery or aorta. […] Children with this heart condition may need to take antibiotics before surgeries or dental treatments. This prevents infections in the heart. […] Contact your health care provider if your child seems to tire easily, has trouble breathing, or has bluish skin or lips. You should also consult your provider if your baby is not growing or gaining weight.
  • #67 Double Outlet Right Ventricle (DORV)
    https://my.clevelandclinic.org/health/diseases/14733-double-outlet-right-ventricle
    Most babies have good outcomes from surgery for DORV. But any heart surgery has risks, such as: Bleeding. Blood clots, which can cause a stroke or heart attack. Infection. Problems coming out of anesthesia. Respiratory failure. Unusual heart rhythms and heart block. […] It’s important to take your child to their follow-up appointments to make sure they’re not developing any issues. […] Because of the risk of infective endocarditis, some people with double outlet right ventricle need to take antibiotics before certain dental procedures. […] Even after a surgical repair for double outlet right ventricle, a baby can have abnormal heart rhythms. Some people can develop heart failure years later. […] Take your child to the emergency room if they’re having trouble breathing and/or their nails, lips or skin have a blue tint. […] Surgery and regular checkups can help people born with double outlet right ventricle live healthier, longer lives.
  • #68 Double Outlet Right Ventricle (DORV)
    https://my.clevelandclinic.org/health/diseases/14733-double-outlet-right-ventricle
    Most babies have good outcomes from surgery for DORV. But any heart surgery has risks, such as: Bleeding. Blood clots, which can cause a stroke or heart attack. Infection. Problems coming out of anesthesia. Respiratory failure. Unusual heart rhythms and heart block. […] It’s important to take your child to their follow-up appointments to make sure they’re not developing any issues. […] Because of the risk of infective endocarditis, some people with double outlet right ventricle need to take antibiotics before certain dental procedures. […] Even after a surgical repair for double outlet right ventricle, a baby can have abnormal heart rhythms. Some people can develop heart failure years later. […] Take your child to the emergency room if they’re having trouble breathing and/or their nails, lips or skin have a blue tint. […] Surgery and regular checkups can help people born with double outlet right ventricle live healthier, longer lives.
  • #69 Double Outlet Right Ventricle in Children – Stanford Medicine Children’s Health
    https://www.stanfordchildrens.org/en/topic/default?id=double-outlet-right-ventricle-in-children-160-113
    DORV can be treated with surgery. Surgery can correct blood flow so that it moves the right way from the left ventricle to the aorta and from the right ventricle to the pulmonary artery. Surgery is also needed to fix the defect in the ventricular wall. And it can fix any other heart defects. The type of surgery will depend on the subtype and exact anatomy of the DORV and other heart problems. The timing of surgery varies. Healthcare providers may advise it soon after birth, within the first few months of life, or later. Some infants with DORV will need more than one surgery. The outcome depends on the type of DORV, other heart problems, and overall health at age of diagnosis. […] Some children with DORV also need medicine. That may especially be the case if they havent yet had surgery and they have symptoms of heart failure. Treatment will vary based on the type of DORV and the severity of symptoms. Possible treatments include: […] Most children with DORV go on to lead normal and active lives. But they will always need special follow-up care with cardiologists. Some may need follow-up surgery as adults.
  • #70 Double Outlet Right Ventricle in Children
    https://methodisthealthsystem.staywellsolutionsonline.com/Library/Encyclopedia/160,113
    Some children with DORV also need medicine. That may especially be the case if they haven’t yet had surgery and they have symptoms of heart failure. Treatment will vary based on the type of DORV and the severity of symptoms. […] Most children with DORV go on to lead normal and active lives. But they will always need special follow-up care with cardiologists. Some may need follow-up surgery as adults. […] Your child’s healthcare provider may give you more directions about helping your child manage DORV. But be sure to do the following: Ask the provider what kind of exercise is right for your child. Teach your child to eat a heart-healthy diet. Tell your child’s providers and dentists about your child’s DORV. Be sure your child sees a specialist in congenital heart disease regularly. […] Call your child’s healthcare provider right away if your child has a hard time breathing or has other severe symptoms.
  • #71 Double Outlet Right Ventricle
    https://healthlibrary.chnola.org/InteractiveTools/Calculators/3,90590
    Early treatment can lower the chance of later problems, such as heart failure and infection of the heart valves. […] Most children with DORV go on to lead normal and active lives. But they will need to see a heart specialist regularly. Some may need more surgery as adults. […] You will be told how to care for your child and about medicines your child needs. Be alert for any changes in your child’s behavior or increased symptoms. These could be a warning for something else.
  • #72 Double Outlet Right Ventricle
    https://healthlibrary.somc.org/Library/Wellness/TodaysMedicine/3,90590
    Some children with DORV also need medicine. The kind of medicine depends on the type of DORV and how serious the symptoms are. Medicine may include: Water pills (diuretics) to reduce swelling, ACE inhibitors or digoxin to make it easier for the heart to pump blood to the rest of the body, Beta-blockers to reduce how hard the heart pumps, Blood thinners (anticoagulants) to prevent blood clots, Antibiotics before certain medical and dental procedures to prevent infection. […] Most children with DORV go on to lead normal and active lives. But they will need to see a heart specialist regularly. Some may need more surgery as adults.
  • #73 Double-Outlet Right Ventricle in Children – Care Options for Kids
    https://careoptionsforkids.com/blog/double-outlet-right-ventricle-in-children
    Learn about DORV, its treatments, and potential complications to make informed decisions and advocate effectively for your child’s care. […] Double-outlet right ventricle is a complex heart defect requiring careful management and support. With advancements in medical technology and expertise, children diagnosed with DORV have a better chance of leading fulfilling lives. Parents and caregivers can offer their children the best chance at a healthy and vibrant future by staying informed, partnering with healthcare professionals, and providing unconditional love and care.
  • #74 Double-Outlet Right Ventricle in Children – Care Options for Kids
    https://careoptionsforkids.com/blog/double-outlet-right-ventricle-in-children
    Caring for a child with DORV requires patience, vigilance, and a multidisciplinary approach involving cardiologists, surgeons, nurses, and other healthcare professionals. Here are some essential aspects to consider: […] Children with DORV need regular check-ups to monitor their heart function, growth, and overall health. […] Your child might need medications to manage heart function, and fluid balance, and prevent infections. Adhering to the prescribed medication schedule is crucial. […] Encourage a balanced diet, regular exercise (as approved by the medical team), and maintaining a healthy weight to support your child’s heart health. […] Caring for a child with a complex heart condition can be emotionally challenging. Seek support from family, friends, and support groups to navigate the journey.
  • #75 Partners in Care | Double Outlet Right Ventricle treatment at the…
    https://partnersincare.health/conditions/double-outlet-right-ventricle
    Double outlet right ventricle (DORV) is a congenital heart defect in which both of the great arteries (the pulmonary artery and the aorta) connect to the right ventricle. […] A hole between the two pumping chambers of the heart (ventricular septal defect) is always present in patients with DORV. This allows the mixing of oxygen-rich and oxygen-poor blood and causes the blood to not be as oxygenated as it should be. […] While medications can be used to help children, who have too much blood going to their lungs, feel better and grow larger in size, surgery is needed to repair the defect and connect the great arteries with their correct pumping chambers. […] The Texas Center for Pediatric and Congenital Heart Disease, a clinical partnership between Dell Childrens Medical Center and UT Health Austin, takes a multidisciplinary approach to your childs care. This means your child and your family will benefit from the expertise of multiple specialists across a variety of disciplines. Your care team will include pediatric cardiologists, cardiothoracic surgeons, interventional cardiologists, critical care specialists, hospitalists, anesthesiologists, perfusionists, nurses, advanced practice providers, social workers, psychologists, child life specialists, dietitians, physical and occupational therapists, pharmacists, and more, who work together to provide unparalleled care for patients every step of the way.
  • #76 Double Outlet Right Ventricle – Sheikh Shakhbout Medical City
    https://ssmc.ae/doctors-specialities/double-outlet-right-ventricle/
    Double Outlet Right Ventricle is a complex congenital heart defect that requires careful diagnosis and management. […] Early intervention through surgical repair can significantly improve outcomes for affected individuals. […] At Sheikh Shakhbout Medical City (SSMC), advanced diagnostic tools and surgical techniques are employed to provide comprehensive care for patients with DORV, ensuring optimal treatment tailored to each patient’s unique anatomical considerations.
  • #77 Double-Outlet Right Ventricle in Children – Care Options for Kids
    https://careoptionsforkids.com/blog/double-outlet-right-ventricle-in-children
    Learn about DORV, its treatments, and potential complications to make informed decisions and advocate effectively for your child’s care. […] Double-outlet right ventricle is a complex heart defect requiring careful management and support. With advancements in medical technology and expertise, children diagnosed with DORV have a better chance of leading fulfilling lives. Parents and caregivers can offer their children the best chance at a healthy and vibrant future by staying informed, partnering with healthcare professionals, and providing unconditional love and care.
  • #78 Double Outlet Right Ventricle Treatment: Symptoms & Causes Explained – The Kingsley Clinic
    https://thekingsleyclinic.com/resources/double-outlet-right-ventricle-treatment-symptoms-causes-explained/
    While medical and surgical treatments are essential for managing DORV, certain lifestyle adjustments can support overall heart health. […] Seek medical attention if you experience symptoms like difficulty breathing, fatigue, or swelling, as these may indicate worsening heart function. […] Managing DORV requires a proactive approach to health. Regular follow-ups with your healthcare provider, adherence to prescribed medications, and maintaining a healthy lifestyle can significantly enhance your quality of life. […] Early intervention is crucial to preventing complications and achieving the best outcomes.
  • #79 Double outlet right ventricle | Vall d’Hebron University
    https://hospital.vallhebron.com/en/healthcare/diseases/double-outlet-right-ventricle
    Double outlet right ventricle is diagnosed via echocardiogram. […] DORV and related damage is usually surgically repaired during the first six months of life. […] In babies without pulmonary stenosis, a band is also usually fitted around the pulmonary artery to reduce the excessive pulmonary blood flow. […] Most patients need no further intervention during their lifetime, apart from children who have been given corrective surgery such as a conduit into the pulmonary artery. […] Despite this surgery, most children treated will be able to lead a normal life, although they will have to be monitored by a cardiologist.