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Bilateral Double-Chambered Ventricles

Imaging findings

Cardiac CT and MRI show deep epicardial fat bands invaginating the right and left ventricles, dividing both into proximal and distal chambers. The tricuspid and mitral valves are normal, and a small ASD/PFO is present with dilated right atrium.

Key takeaways

Bilateral double-chambered ventricles is an extremely rare congenital cardiac anomaly where fatty or muscular bands divide both the right and left ventricles into two chambers. It must be differentiated from acquired masses or constrictive pericarditis.

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