{"id":714,"date":"2020-05-01T09:19:29","date_gmt":"2020-05-01T09:19:29","guid":{"rendered":"https:\/\/genesis-foundation.net\/blog\/?p=714"},"modified":"2025-06-10T05:53:04","modified_gmt":"2025-06-10T05:53:04","slug":"all-you-need-to-know-about-the-dorv-heart-defect","status":"publish","type":"post","link":"https:\/\/www.genesis-foundation.net\/blog\/all-you-need-to-know-about-the-dorv-heart-defect\/","title":{"rendered":"Learning about the Double Outlet Right Ventricle"},"content":{"rendered":"<div class=\"story-col-12\">\n<p style=\"text-align: justify;\">Little Olirmathi who is only one year and two months old was born with a complex congenital heart defect. Her association with Genesis Foundation (GF), which is a congenital heart foundation working towards saving these little hearts has been a remarkable journey.<\/p>\n<p style=\"text-align: center;\"><img decoding=\"async\" class=\"img-responsive aligncenter\" style=\"max-width: 150px;\" src=\"https:\/\/genesis-foundation.net\/blog\/wp-content\/uploads\/2020\/05\/Little-Olirmathi-.jpg\" alt=\"\" \/><i style=\"font-size: 13px;\">Little Olirmathi battled DORV corrective surgery at 1.2 years old.<\/i><\/p>\n<p style=\"text-align: justify;\">Olirmathi is the younger daughter of Gandhimathi and Selvakumar of Vellore district in Tamil Nadu. When she was two months old, she developed pneumonia along with seizures. Her parents took her to a government hospital in Chennai where she was detected with a heart murmur. Once she was admitted and stabilized, her treatment for seizures began. However, later on when an Echo was performed, the resulting diagnosis was Double Outlet Right Ventricle (DORV) with severe Pulmonary Stenosis which meant there was an overriding of the Aorta and the Pulmonary Artery. Her Aorta was originating more from the right ventricle.<\/p>\n<p style=\"text-align: justify;\">After being out on medicines for a year, she was called for a review. After the echo was repeated, the diagnosis was confirmed. Olirmathi required Biventricular Repair (with RV to PA Conduit). <strong>In simpler terms it meant she needed an open-heart surgery.<\/strong> One of their relatives in Chennai knew a doctor in a private hospital, but the amount required for the surgery was exorbitant. They returned to Vellore, dejected.<\/p>\n<p style=\"text-align: justify;\">Like every cloud has a silver lining, Genesis Foundation became Olirmathi\u2019s beacon of hope. A paediatrician referred them to Miot Hospital in Chennai and through GF\u2019s CSR partnership with K&amp;S Partners, the required financial assistance for Olirmathi\u2019s operation was successfully provided. Her parents were counselled for the surgery and Olirmathi underwent the corrective surgery with a conduit placed from the Right Ventricle to Pulmonary Artery. Olirmathi is a healthy girl and her condition is quite stable now.<\/p>\n<p style=\"text-align: justify;\"><strong>What is the Double Outlet Right Ventricle Heart Defect? <\/strong><\/p>\n<p style=\"text-align: justify;\">Double Outlet Right Ventricle (DORV) is a rare congenital heart defect in which the pulmonary artery and the aorta, that are the heart\u2019s two major arteries &#8211; both connect to the right ventricle. And therein lies the problem, because it is the left ventricle &#8211; the chamber which is responsible for pumping oxygen-rich blood to the body<\/p>\n<p style=\"text-align: justify;\">In a normal heart, the pulmonary artery connects to the right ventricle, and the aorta connects to the left ventricle. <strong>DORV creates a problem because the right ventricle carries oxygen-poor blood, which then gets circulated in the body.<\/strong> The term DORV was first coined by Dr. Witham in 1957<\/p>\n<p style=\"text-align: center;\"><img decoding=\"async\" class=\"img-responsive aligncenter\" src=\"https:\/\/genesis-foundation.net\/blog\/wp-content\/uploads\/2020\/05\/Difference-between-a-normal-heart-.jpg\" alt=\"\" \/><i style=\"font-size: 13px;\">Difference between a normal heart and a heart with the DORV defect <\/i><\/p>\n<p style=\"text-align: justify;\">A Ventricular Septal Defect (VSD) or an abnormal opening (hole) is always associated with DORV. The VSD allows the oxygen-rich blood to pass from the left ventricle to the aorta and pulmonary artery. But even with this added oxygen, the body does not get enough of it, causing the heart to work harder.<\/p>\n<p style=\"text-align: justify;\"><strong>Types &amp; Symptoms of DORV<\/strong><\/p>\n<p style=\"text-align: justify;\">DORV can be classified into 4 types depending on the location of the VSD<\/p>\n<ul style=\"text-align: justify; margin-left: 14px;\">\n<li>Sub-Aortic Ventricular Septal Defect<\/li>\n<li>Doubly Committed VSD<\/li>\n<li>Non-Committed VSD<\/li>\n<li>Sub Pulmonic VSD<\/li>\n<\/ul>\n<p style=\"text-align: center;\"><img decoding=\"async\" class=\"img-responsive aligncenter\" style=\"max-width: 350px;\" src=\"https:\/\/genesis-foundation.net\/blog\/wp-content\/uploads\/2020\/05\/Children-can-exhibit-multiple-.jpg\" alt=\"\" \/><i style=\"font-size: 13px;\">Children can exhibit multiple symptoms of DORV.<\/i><\/p>\n<p style=\"text-align: justify;\"><strong>Diagnosis of DORV<\/strong><\/p>\n<p style=\"text-align: justify;\">To understand a child\u2019s condition better, the doctor might order one or more of the following investigations:<\/p>\n<ul style=\"text-align: justify; margin-left: 14px;\">\n<li>Electrocardiogram (ECG or EKG)<\/li>\n<li>Echocardiogram (Cardiac Ultrasound)<\/li>\n<li>Chest x-ray<\/li>\n<li>Cardiac Catheterization<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong>Treatment of DORV <\/strong><\/p>\n<p style=\"text-align: justify;\">The treatment of DORV is an <strong>open-heart surgery<\/strong>. There are different techniques.<\/p>\n<p style=\"text-align: justify;\">The most common one is called intraventricular tunnel repair. For this surgery, the surgeon creates a tunnel to connect the left ventricle to the aorta. A patch placed within the heart directs left ventricle blood flow to the aorta.<\/p>\n<p style=\"text-align: justify;\">Another treatment modality is total intracardiac repair which is similar to the Tetralogy of Fallot (TOF) repair. This is indicated in DORV, subaortic VSD with severe Pulmonary stenosis.<br \/>\nMoreover, where there is a Sub Pulmonic VSD, Arterial Switch is performed. For this procedure, a tunnel from the VSD to the pulmonary artery is created, connecting the left ventricle to the pulmonary artery.<\/p>\n<p style=\"text-align: justify;\"><strong>Long-Term Outcomes for DORV <\/strong><\/p>\n<p style=\"text-align: justify;\">The long-term outcomes for DORV corrective surgery are good. Usually children can lead a normal life after the total repair. In a few cases, additional interventions might be required in future (5 to 10%).<\/p>\n<p class=\"mb-0 text-capitalized mt-4\"><strong><u>Frequently Asked Questions<\/u><\/strong><\/p>\n<style>#sp-ea-4655 .spcollapsing { height: 0; overflow: hidden; transition-property: height;transition-duration: 300ms;}#sp-ea-4655.sp-easy-accordion>.sp-ea-single {margin-bottom: 10px; border: 1px solid #e2e2e2; }#sp-ea-4655.sp-easy-accordion>.sp-ea-single>.ea-header a {color: #444;}#sp-ea-4655.sp-easy-accordion>.sp-ea-single>.sp-collapse>.ea-body {background: #fff; color: #444;}#sp-ea-4655.sp-easy-accordion>.sp-ea-single {background: #eee;}#sp-ea-4655.sp-easy-accordion>.sp-ea-single>.ea-header a .ea-expand-icon { float: left; color: #444;font-size: 16px;}<\/style><div id=\"sp_easy_accordion-1749470762\"><div id=\"sp-ea-4655\" class=\"sp-ea-one sp-easy-accordion\" data-ea-active=\"ea-click\" data-ea-mode=\"vertical\" data-preloader=\"\" data-scroll-active-item=\"\" data-offset-to-scroll=\"0\"><div class=\"ea-card ea-expand sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-46550\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse46550\" aria-controls=\"collapse46550\" href=\"#\" aria-expanded=\"true\" tabindex=\"0\"><i aria-hidden=\"true\" role=\"presentation\" class=\"ea-expand-icon eap-icon-ea-expand-minus\"><\/i> What is the recovery process after surgery for a DORV heart defect?<\/a><\/h3><div class=\"sp-collapse spcollapse collapsed show\" id=\"collapse46550\" data-parent=\"#sp-ea-4655\" role=\"region\" aria-labelledby=\"ea-header-46550\"> <div class=\"ea-body\"><p>Your hospital stay after birth may be a couple of days or as long as several weeks to months, depending on the type and severity of the Double Outlet Right Ventricle (DORV). The most common type is DORV with a Ventricular Septal Defect (VSD). After surgery, the average hospital stay is around 7 days, assuming no complications. Full recovery generally takes about 2 to 3 weeks. Genesis Foundation, a <strong>heart care foundation in India<\/strong>, provides critical financial support to ensure children from underprivileged families with CHD, including DORV, get the treatment they need. <em>The content here is for informational purposes <\/em><em>and not a substitute for professional medical advice. Always consult a qualified healthcare provider;<\/em><em> Genesis Foundation is not liable for reliance on this content.<\/em><\/p><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-46551\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse46551\" aria-controls=\"collapse46551\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\"><i aria-hidden=\"true\" role=\"presentation\" class=\"ea-expand-icon eap-icon-ea-expand-plus\"><\/i> What are the surgical options for a DORV heart defect?<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse46551\" data-parent=\"#sp-ea-4655\" role=\"region\" aria-labelledby=\"ea-header-46551\"> <div class=\"ea-body\"><p>Double Outlet Right Ventricle (DORV) has many morphological subsets, the most common being DORV with a Ventricular Septal Defect (VSD). Surgical treatment depends on the type and complexity of the defect. Children born with DORV will need surgery to close the hole in the heart and connect the aorta to the left ventricle and the pulmonary artery to the right ventricle. For this surgery, the surgeon creates a kind of tunnel to connect the left ventricle to the aorta. A patch placed within the heart directs left ventricle blood flow to the aorta. In other cases of DORV, the surgeon will do a procedure called an arterial switch (needed only if the arteries are reversed, and both are also attached to the right ventricle). Genesis Foundation, an <strong>NGO for heart surgery, supports<\/strong> the treatment of children born with congenital heart defects like DORV. <em>The content here is for informational purposes <\/em><em>and not a substitute for professional medical advice. Always consult a qualified healthcare provider;<\/em><em> Genesis Foundation is not liable for reliance on this content.<\/em><\/p><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-46552\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse46552\" aria-controls=\"collapse46552\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\"><i aria-hidden=\"true\" role=\"presentation\" class=\"ea-expand-icon eap-icon-ea-expand-plus\"><\/i> Are there any specific lifestyle changes that children with DORV should make?<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse46552\" data-parent=\"#sp-ea-4655\" role=\"region\" aria-labelledby=\"ea-header-46552\"> <div class=\"ea-body\"><p>Children with DORV need to follow a heart-healthy lifestyle that includes a balanced diet and regular physical activities as advised by their doctor. Routine follow-ups with a cardiologist and adherence to prescribed medications are essential. Genesis Foundation, a dedicated <strong>children\u2019s heart foundation<\/strong>, provides critical support for children with congenital heart defects and has supported such cases for children from lesser privileged families in India. To get more information, drop an email at <a href=\"mailto:contactus@genesis-foundation.net\">contactus@genesis-foundation.net<\/a>.<\/p><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-46553\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse46553\" aria-controls=\"collapse46553\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\"><i aria-hidden=\"true\" role=\"presentation\" class=\"ea-expand-icon eap-icon-ea-expand-plus\"><\/i> What type of surgery is typically performed for DORV?<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse46553\" data-parent=\"#sp-ea-4655\" role=\"region\" aria-labelledby=\"ea-header-46553\"> <div class=\"ea-body\"><p>Double Outlet Right Ventricle (DORV) has many morphological subsets, the most common being DORV with a Ventricular Septal Defect (VSD). Surgical treatment depends on the type and complexity of the defect. In the simplest type of DORV repair, the left ventricle is connected to the aorta via a tunnel. In other cases of DORV, the surgeon will perform a procedure called an arterial switch. This surgery is needed only if the arteries are reversed, and both are attached to the right ventricle. Very complicated or severe cases of DORV may call for 3 separate surgeries. These surgeries will result in a functioning heart that uses only 1 ventricle. Your <strong>donation for heart surgery<\/strong> can give little hearts another chance to beat. <em>The content on our website is for informational purposes only and not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider; Genesis Foundation is not responsible for any reliance placed on this information.<\/em><\/p><\/div><\/div><\/div><\/div><\/div>\n<p style=\"text-align: justify; margin-top: 40px;\"><strong>Other DORV Cases Associated with the Genesis Foundation <\/strong><\/p>\n<p style=\"text-align: justify;\">A <a href=\"https:\/\/www.genesis-foundation.net\/\">congenital heart foundation<\/a>, everyone associated with Genesis Foundation works with equal dedication as the doctors. Along with Olirmathi, 11-year-old Devananda Sunil is also a GF star kid, whose faith in life renewed ours. Currently studying in Grade 6, she is a strong and resilient girl who aims to pursue a career in science.<\/p>\n<p style=\"text-align: center;\"><img decoding=\"async\" class=\"img-responsive aligncenter\" style=\"max-width: 150px;\" src=\"https:\/\/genesis-foundation.net\/blog\/wp-content\/uploads\/2020\/05\/Devananda-Sunil.jpg\" alt=\"\" \/><i style=\"font-size: 13px;\">Devananda Sunil who is in Grade 6 had a DORV surgery<\/i><\/p>\n<p style=\"text-align: justify;\">Devananda has three sisters and is the second daughter to her parents Renu and Sunil. She is the apple of their eyes. During a routine check-up in school, when her heart murmur was discovered, Sunil was shattered. A painter by profession in Idukki, Kerala, he earned a monthly income of Rs. 5000.<\/p>\n<p style=\"text-align: justify;\">After being referred to Amrita Institute in Kochi for further evaluation, she was diagnosed with a Double Outlet Right Ventricle. In Devananda\u2019s case, there was an overriding of the Aorta and the Pulmonary Artery. The overriding was approximately 60%, which meant she needed an open-heart surgery.<\/p>\n<p style=\"text-align: justify;\">Renu and Sunil\u2019s helplessness to collect sufficient funds led them to the Genesis Foundation, upon recommendation by the Amrita Institute. With help from WPP India\u2019s CSR Foundation, Genesis Foundation covered all the costs incurred for Devananda\u2019s open heart surgery. Her surgery was successful and now she leads her life like any other child fighting for their dreams.<\/p>\n<p style=\"text-align: justify;\">Genesis Foundation has been helping save little hearts with not just the financial aid but making a difference in every child\u2019s life.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Little Olirmathi who is only one year and two months old was born with a complex congenital heart defect. Her association with Genesis Foundation (GF), which is a congenital heart foundation working towards saving these little hearts has been a remarkable journey. Little Olirmathi battled DORV corrective surgery at 1.2 years old. Olirmathi is the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1219,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-714","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Learning about the Double Outlet Right Ventricle - Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.genesis-foundation.net\/blog\/all-you-need-to-know-about-the-dorv-heart-defect\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Learning about the Double Outlet Right Ventricle - Blog\" \/>\n<meta property=\"og:description\" content=\"Little Olirmathi who is only one year and two months old was born with a complex congenital heart defect. 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Her association with Genesis Foundation (GF), which is a congenital heart foundation working towards saving these little hearts has been a remarkable journey. Little Olirmathi battled DORV corrective surgery at 1.2 years old. 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