Table 1. Spectrum of the morphological right ventricle in congenital heart disease.
1. Subpulmonary RV (pulmonary artery arises from the morphological RV) |
a. Pressure loaded RV |
(a) Mechanical obstructions in the subpulmonary circulation: |
a) Supravalvular pulmonary stenosis |
b) Pulmonary valve stenosis |
c) Infundibular pulmonary stenosis |
d) Double chambered right ventricle |
(b) Pulmonary hypertension (including IPAH/HPAH with incidental pre-/post-tricuspid shunt, significant shunt lesions, Eisenmenger syndrome) |
b. Volume loaded RV |
(a) Pulmonic valve regurgitation (Tetralogy of Fallot) |
(b) Tricuspid valve regurgitation (Ebstein anomaly) |
(c) ASD |
2. Systemic RV (aorta arises from the morphological RV) |
a. Biventricular circulation |
(a) ccTGA (most common: S.L.L., TGA; less common: I.D.D., TGA) |
(b) d-TGA (S.D.D., TGA) after atrial switch repair |
b. Univentricular circulation |
(a) HLHS |
(b) DORV-DIRV with subpulmonary stenosis |
(c) (DIRV) |
ASD, atrial septal defect; ccTGA, congenitally corrected transposition of the great arteries; DIRV, double inlet right ventricle; DORV, double-outlet right ventricle; d-TGA, dextro-transposition of the great arteries; HLHS, hypoplastisch left heart syndrome; HPAH, hereditary pulmonary arterial hypertension; IPAH, idiopathic pulmonary arterial hypertension; RV, right ventricle.