Table 1.
Mild RV Hypertrophy | Moderate RV Hypertrophy | Severe RV Hypertrophy | RV Failure | |
---|---|---|---|---|
Number of patients | 3 | 10 | 3 | 5 |
Age (years) | 11.3 ± 16.1 | 2.8 ± 4.3 | 25.2 ± 13.8 | 10.9 ± 6.9 |
Sex (Male) | 33% | 50% | 33.3% | 60% |
Diagnoses | PS, VSD/DCRV | TOF, PS, VSD/DCRV | TOF, VSD/DCRV | AVSD, Shone’s complex with PHTN |
Surgical Procedure | RVOT muscle bundle resection | RVOT muscle bundle resection | RVOT muscle bundle resection | Heart transplant |
Peak RVOT gradient (mmHg) | 57.7 ± 2.5 | 82.1 ± 18.8 | 119.3 ± 19.1 | 51.8 ± 32.2 |
RV fractional area change (%) | 46 ± 6.24 | 49.7 ± 7.67 | 43 ± 6.08 | 26.6 ± 3.13 |
Left Ventricular Ejection Fraction (%) | 60 ± 6.76 | 62 ± 8.22 | 69 ± 7.45 | 58 ± 13.86 |
Medications | - | - | - | Epinephrine, Dopamine, Milrinone |
Right ventricular tissue was collected at the time of surgical repair from patients with mild, moderate and severe RV hypertrophy and at the time of heart transplantation from patients with RV failure secondary to congenital heart disease. All patients with mild, moderate and severe hypertrophy had RV pressure overload with preserved systolic function. Patients with RV pressure overload with RV failure had decreased systolic function and were on systemic inotropic therapy. RV – right ventricle; RVOT – right ventricular outflow tract; PS – pulmonary stenosis; VSD – ventricular septal defect; DCRV – double chambered right ventricle; TOF – tetralogy of Fallot; AVSD – atrioventricular septal defect; PHTN – pulmonary hypertension. Data are presented as mean±SD.