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Repaired Double Outlet Right Ventricle

Imaging findings

CT in an adult patient post-repair for double outlet right ventricle and D-transposition of the great arteries shows a thickened, hypertrophied right ventricle and a right aortic arch. The reconstructed pulmonary artery arises anteriorly and is patent, and a pacemaking wire is present.

Key takeaways

Double outlet right ventricle (DORV) is a congenital cardiac anomaly where both great arteries arise from the right ventricle. Long-term survivors of surgical repair can show persistent right ventricular hypertrophy, Pacemaker hardware, and normal-for-repair postoperative anatomy.

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