Monthly Archives: Feb 2003

Double Outlet Right Ventricle – DORV

Double Outlet Right Ventricle DORV

What is Double Outlet Right Ventricle (DORV) ?

Some of the defects I have described are “simple”, some are a little “complex” – but DORV is something else.

It is a common term that actually describes a wide spectrum of heart disease, ranging from something similar to a Ventricular Septal Defect (VSD), through Tetralogy of Fallot (ToF) to Transposition of the Great Arteries (TGA).

It is sometimes like one, at other times like another, and occasionally a mixture of some of them. So if at first you are baffled, don’t worry. I too was, and figured it out only after a long hard struggle.

What is Double Outlet Right Ventricle ?

Normally, a ventricle has just ONE outlet. For the left ventricle, this is the aorta. For the right ventricle it is the pulmonary artery. In DORV, both of these “outlet” blood vessels – aorta and pulmonary artery – arise from the RIGHT VENTRICLE, either totally or to a great extent.


Coarctation of the Aorta – CoA

Coarctation of the Aorta - CoA

You have read something of congenital heart defects inside the heart. Now let us consider a defect that is outside the heart itself, in one of the great arteries of the body – the aorta.

What is COARCTATION of the aorta ?

Coarctation of the aorta (CoA) is an area of localized narrowing of the large artery called the aorta. (“Coarctatio” – Latin : a drawing or pressing together). The narrowing may be caused by a “shelf” of tissue inside the blood vessel which reduces its area. Alternately, it may be caused by under-development of a portion of the aorta itself, which causes a longer area of reduced diameter.

Where does CoA occur ?

The narrowing that occurs in CoA is most commonly seen at a portion called the ISTHMUS.

But what is the isthmus ?