CASE REPORT
 
KEYWORDS
TOPICS
ABSTRACT
The presented case report details a rare variation of a congenital heart anomaly known as double-inlet single left ventricle (DILV) – Holmes heart. Unlike other forms of DILV, the Holmes heart variant is distinguished by the absence of transposition of the great vessels. In this particular case, the diagnosis of DILV was made shortly after birth, but due to the severe nature of the condition, corrective surgery to address the defect was not performed. After a long time, the patient sought a followup examination with a cardiologist. Despite the absence of reported anginal symptoms during the visit, abnormalities were detected in the blood morphology, indicating deviations from the normal range. Specifically, the blood morphology exhibited erythrocytosis, and a high haematocrit level. Consequently, an MRI scan was recommended during the visit, which subsequently confirmed and provided a detailed description of the Holmes heart anomaly.
Jagodowski P, Gawlik Ł, Spałek M, Spałek J, Gregorczyk M, Rezaei A, Wypchło Ł, Stochmal. Asymptomatic patient with Holmes heart and compensatory polycythaemia. J Pre-Clin Clin Res. 2024; 18(2): 121–123. doi: 10.26444/jpccr/186934
 
REFERENCES (12)
1.
Rao PS. Single Ventricle-A Comprehensive Review. Children. 2021;8(6):441. https://doi.org/10.3390/childr....
 
2.
Kouchoukos NT, Blackstone EH, Hanley FL, Kirklin JK. Double Inlet Ventricle and Atretic Atrioventricular Valve. In: Kirklin/Barratt-Boyes, ed. Cardiac Surgery, Philadelphia; 2013. p. 2008–2033.
 
3.
Khairy P, Poirier N, Mercier L-A. Univentricular heart. Circulation. 2007;115:800–812. https://doi.org/10.1161/ CIRCULATIONAHA.105.592378.
 
4.
Earing MG, Hagler DJ, Edwards WD. Univentricular Atrioventricular Connection. Thoracic Key Online https://thoracickey.com/ univentricular-atrioventricular-connection/ (access: 2023.03.12).
 
5.
Frescura C, Thiene G. The new concept of univentricular heart. Frontiers Pediatrics. 2014;2:62. Frontiers Pediatrics Online: https:// www.frontiersin.org/articles/10.3389/fped.2014.00062/full (access: 2023.03.14).
 
6.
Fetal Development of the Heart and Great Vessels in Fetal Heart Defects – Diagnosis and Management. pp. 10–12.
 
7.
Rao PS. Double-Inlet Left Ventricle. Children. 2022;9:1274. https://doi. org/10.3390/children9091274.
 
8.
Sommer RJ, et al. Pathophysiology of congenital heart disease in the adult: part I: Shunt lesions. Circulation. 2008;117:1090–1099. AHA Journals Online: https://www.ahajournals.org/do... CIRCULATIONAHA.107.714402 (access: 2023.03.12).
 
9.
Abraham RR. Double Inlet Left Ventricle with Eisenmenger Syndrome in an Adult – A Case Report. International Journal of Medical Students. 2017;5,1:53–56. https://doi.org/10.5195/ijms.2....
 
10.
Mareș R-C, Meliț LE, Togănel R, Mareș R-G, Mărginean CO. Liver Disease Assessment in Children with Fontan and Glenn Surgeries for Univentricular Hearts-The Role of Elastography and Biochemical Fibrosis Markers. Applied Sciences. 2022;12(15):7481. https://doi. org/10.3390/app12157481.
 
11.
Stout KK, Daniels CJ, Aboulhosn JA, Bozkurt B, Broberg CS, et al. 2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2019;139:698–800. AHA Journals Online: https://www.ahajournals.org/do... (access: 2023.03.15).
 
12.
Rose SS, Shah AA, Hoover DR, Saidi P. Cyanotic congenital heart disease (CCHD) with symptomatic erythrocytosis. Journal of General Internal Medicine. J Gen Intern Med. 2007;22:1775–1777. https://doi. org/10.1007/s11606-007-0356-4.
 
eISSN:1898-7516
ISSN:1898-2395
Journals System - logo
Scroll to top