Heart and Blood Conditions

Double Outlet Right Ventricle Symptoms and Diagnosis

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    • For appointments in Seattle, Bellevue, Everett, Federal Way, Olympia, Tri-Cities and Wenatchee, call 206-987-2515.
    • For appointments in Tacoma and Silverdale, call 253-272-1812.
    • For appointments in Alaska, call 907-339-1945.
    • How to schedule

    If this is a medical emergency, call 911.

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  • Locations +

    • Seattle Children's Main Campus: 206-987-2515
    • Bellevue Clinic and Surgery Center: 425-454-4644
    • Everett: 425-304-6080
    • South Clinic in Federal Way: 253-838-5878
    • Olympia: 360-459-5009
    • South Sound Cardiology Clinics: 253-272-1812
    • Tri-Cities (Richland): 509-946-0976
    • Wenatchee: 509-662-9266
    • Pediatric Cardiology of Alaska: 907-339-1945
    • Seattle Children's doctors provide many cardiac services at regional sites throughout the Pacific Northwest. See our complete list of Heart Center locations.

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    • If you are a provider, fax a New Appointment Request Form (NARF) (PDF) (DOC) to 206-985-3121 or 866-985-3121 (toll-free).
    • No pre-referral work-up is required for most conditions. If you have already done testing such as an EKG, Holter monitor or echocardiogram, please fax this information as well as relevant clinic notes and the NARF to 206-985-3121 or 866-985-3121 (toll-free).
    • Your patient will be seen as quickly as possible by the provider who is the best match for managing the current problem.
    • View our complete Heart Center Referral Information (PDF).

Symptoms of Double Outlet Right Ventricle

A wide range of heart problems fit into the category of double outlet right ventricle. Symptoms will vary from one kind of double outlet right ventricle to another, depending on how the blood moves through and out of the heart.

In many patients, double outlet right ventricle allows oxygen-poor (blue) blood to leave the right ventricle through the aorta and get pumped out to your child's body. So this heart defect causes symptoms linked to lower-than-normal oxygen supply. Your child may appear to have bluish skin, for example.

Also, in children with double outlet right ventricle, the lungs may get more blood than usual. This can cause your baby to breathe very fast or work hard to breathe. It may result in high blood pressure in the lungs and cause heart failure.

Your child may have symptoms like these:

  • Bluish skin, lips or nailbeds (cyanosis) or pale skin
  • Trouble feeding
  • Failure to thrive  
  • Fast breathing or working hard to breathe
  • Sweating more than normal

Double Outlet Right Ventricle Diagnosis

To diagnose this condition, your doctor will examine your child, check their heartbeat and listen to their heart. In children with double outlet right ventricle, doctors might be able to hear a heart murmur - the sound of blood moving in the heart in a way that's not normal.

The doctor will ask for details about your child's symptoms, their health history and your family health history.

Your child will also need tests that provide more information about how their heart looks and works. These will most likely include an echocardiogram, chest X-rays, and an electrocardiogram. Your child may need other tests that provide more information about how their heart looks and works. These tests might include an MRI (magnetic resonance imaging) or CT (computed tomography) scan of the heart and cardiac catheterization.

Contact Us

Contact the Heart Center at 206-987-2015 for a cardiac referral, a second opinion or more information.