Table 2 Non-chromosomal disorders associated with double outlet right ventricle
CaseDiagnosisSegmental typeCardiac anatomySignificant extracardiac findingsReference
62Melnick–Needles syndromeUnkDORVCFD, skeletal dysplasia, motor delay, phosphate reabsorption low152
63Melnick–Needles syndrome or ter Haar syndromeIDORVBrachycephaly, congenital glaucoma, CFD, hypo nails, skeletal abnl, absent distal phalanges of toes, SUA153
64Gardner–Silengo–Wachtel syndrome or genito–palato-cardiac syndromeIDORVFetus (21 weeks), micrognathia, CFD, flexion deform digits154
Gonadal dysgenesis: 46, XY with NL female genitalia
Family history of CHD
65Noonan syndromeIIDORVPigmented nevus, ptosis, hypertelorism, micrognathia, low set ears, short/webbed neck, widely spaced nipples, hypotonia155
ASD
MA
AoV atresia
LV hypo
66Kalmann syndromeIIDORVIUGR, microcephaly, sensory neural hearing loss, micropenis, cryptorchidism, MR, absent olfaction, undetectable LH and FSH156
ASD
Pulm art: hypo
R AoA
Anomalous CA
67Ritscher–Schinzel syndromeIIDORVCFD, Bilat iris and retinal colobomas, macrocephaly, partial syndactyly, developmental delay157
ASD
Abnl SVC
68Ritscher–Schinzel syndromeIDORVCFD, Dandy–Walker malformation, bilat iris and L optic nerve colobomas, large fontanels, proximal thumb157
Family history CHD
69Robinow syndromeIIIDORVMicrocephaly, CFD, blue sclerae, pre/postnatal short stature, delayed skeletal maturation, growth delay158
ASD
R isomerism
TA, PS
70Opitz syndromeIDORVClosed bladder exstrophy, bilat double collecting system, CFD, cryptorchidism159
PA
R AoA
71Ellis–van Creveld (EVC) syndromeIIIDORVShort limb dwarfism, thoracic defect, polydactyly, ectodermal defects, visceral heterotaxia, asplenia160
CAVC
Common atrium
R isomerism
Unroofed CS
LSVC
72Adams–Oliver syndromeIIDORVMicrocephaly, CFD, scalp defect, encephalocele, skeletal abnl, hepatoportal sclerosis, pulmonary HTN, growth delay161
PS
Polyvalvular dysplasia
Pulmonary artery: hypo
73Kabuki syndromeUnkDORVCFD162
74Kabuki syndromeIIDORVFTT, submucous CP, ear pit, CFD, MR163
Ao coarctation
75VACTERLIDORVSingle lobed R lung, tracheal agenesis, imperforate anus164
PS
76Rhabdo-myomatous dysplasiaIIIDORVR lung hypo, bilobar R and L lung, rhabdomyomatosis165
ASD
PDA
Multiple Ao–pulmonary collaterals
Anom drainage pulmonary veins
77CFC1 sequence variantIIIDORVR isomerism of lungs, intestinal malrotation, asplenia50
CAVC
PA
TAPVR
R AoA
Dextrocardia
78CFC1 mutationIIDORV51
Subpulmonary VSD
AoA: hypo
79CFC1 sequence variantIIDORV51
DIRV
PA
Single ventricle
80CFC1 sequence variantIIIDORVTransverse liver, R sided stomach, asplenia52
AVSD
PS
TAVPR
L IVC
81CFC1 sequence variantIIIDORVMalrotation52
Interrupted IVC
Hepatic venous drainage to L sided atrium
Bilat SVC
PS
Bilat/sym PVR
82CFC1 sequence variantsIIIDORV52
AVSD
PA
Interrupted IVC
Hepatic venous drainage to R sided atrium
83CFC1 sequence variantsIIIDORVTransverse liver, asplenia, malrotation52
AVSD
MA
TAPVR
Absent LSVC
Hepatic venous drainage to RA
84CFC1 sequence variantsIIDORV52
AVSD
PS
Interrupted IVC
85CRX mutationIIDORV54
ASD
86CRX mutationUnkDORV55
87Cn43 mutationsIDORV166
88UnkIIIDORVSitus inversus167
PS
TAPVC
Dextrocardia
89UnkIIIDORV167
PS
TAPVC
Dextrocardia
90UnkIDORVTotal situs inversus146
Major Ao–pulmonary collaterals
91UnkIIIDORVAsplenia, visceral heterotaxia, symmetrical liver168
CAVC
PS
TAPVC
L SVC
IVC drains to LA
92UnkIDORVPartial situs inversus169
TGA
93UnkIDORVTotal situs inversus169
PS
94UnkIDORVTotal situs inversus169
AVSD
PS
Common atrium
95UnkIIIDORVTotal situs inversus130
TGA
96UnkIIIDORV130
RV hypo
AVSD
L isomerism
97UnkIIIDORV130
AVSD
TAPVR
R isomerism
98UnkIIIDORVMalrotation of gut130
AVSD
TGA
CoA
IAA
L isomerism
99UnkIIIDORV130
AVSD
TGA
LVNC
L isomerism
100UnkIIIDORVFetus (29 weeks), IUGR, holoprosencephaly, fused eyes, absent nose, Abnl facial bones, omphalocele, 2/3 R syndactyly, bilat radial aplasia, hypoplastic L thumb, aplastic R thumb, polysplenia, incomplete lobation R lung, kyphosis170
101UnkIIDORVAccessory spleen171
ASD
MS
AoV atresia
TV dysplasia
102UnkIIIDORVPolyhydramnios, ascites, hepatomegaly, non-immune hydrops, polysplenia, midgut malrotation172
CAVC
AoV atresia
MS (cleft)
LV hypo
AoA hypo
Double AoA
Interrupted IVC
LSVC
103UnkIIIDORVBilat R bronchial isomerism, undersized spleen, midline liver173
ASD
PS
R isomerism
IVC drains to LA
TAPVD
104UnkUnkDORVEctopia cordis174
105UnkIDORVEctopia cordis, CL/CP, encephalocele, hydrocephalus, CDH, ventral hernia175
Dextrocardia
LV diverticulum
106UnkIDORVEctopia cordis130
107UnkIDORVPremature, ectopia cordis, omphalocele, CDH175
PS
Dextrocardia
108UnkIDORVPentalogy of Cantrell (omphalocele, short sternum with defective formation lower third, CDH, CHD), hydronephrosis, sensory neural hearing loss, cryptorchidism, asthma, growth and developmental delay176
PS
109UnkIIDORVEctopia cordis, sternal cleft, diastasis recti, pericardial defect177
ASD
Ao coarct
LSVC
110UnkIIDORVEctopia cordis, incomplete split sternum, pericardium absent177
ASD
LV hypo
LSVC
111UnkIIIDORVCDH, polysplenia57
ASD
LV hypo
112UnkIDORVCDH178
113UnkUnkDORVCDH179
114UnkUnkDORVCDH180
115–123UnkUnkDORVCDH181
124UnkIIDORVRenal–hepatic–pancreatic dysplasia169
MS, AS
LV hypo
125UnkIIDORVMicrognathia, SUA169
TGA
LV hypo
126UnkIDORVOmphalocele, SUA169
PS
TGA
127UnkIDORVBilat renal agenesis, oligohydramnios169
128? new AR syndromeIIDORV182
CAVC
ASD
LV hypo
PS
129? new AR syndromeIIDORVGrowth delay183
ASDFamily history CHD, consanguinity
PS
130? new AR syndromeIIDORVCFD, microcephaly, growth delay, micrognathiaFamily history CHD, consanguinity183
ASD
PS
LSVC
131UnkUnkDORVAbsent testes, communicating hydrocephalus, peroxisomal dysfunction per Robinow and Beemer (1990)184
Family history CHD, consanguinity
132UnkIIDORVFetus (17 weeks), IUGR, hydraencephaly, hypoplastic L forearm w/abs L hand, R radial aplasia, hydrocephaly, hydrops185
MS
AoV atresia
LV hypo
PA
TV dysplasia
133UnkUnkDORVCFD, psychomotor retardation, ataxia146
134UnkIDORVUnilateral otic hypoplasia/hemifacial microsomia, spinal abnl, absent sacrum, bilat hypoplastic lungs, single cystic/dyspl kidney186
PS
135UnkIIDORVUnilateral otic hypoplasia/hemifacial microsomia, unilobed lungs186
ASD
Ventricular inversion
PS
136UnkIDORVCFD, sacral dimple, growth and motor delay150
PDA
137UnkIDORVCFD150
TGA
PS
138UnkIIDORVAnal atresia, thumb contractures, growth delay150
ASD
PS
139UnkIIIDORVCFD, renal agenesis, Bilat syndactyly fingers and toes, bifid uvula, MR150
PA
R isomerism
Atypical ductus
LV hypo
140UnkIIIDORVSacral dimple, bilat camptodactyly fingers150
CAVSD, ASD
R isomerism
Atypical ductus
141UnkIIDORVFetus (14 weeks), cystic hygroma, CL/CP, SUA, bilat hypoplastic thymus187
MA
AoV atresia
LA hypo
PA
Abnl CA
LSVC
142Unk.IIDORVFetus (21 weeks), cystic hygroma, SUA, absent thymus187
AoV atresia
PA
143UnkIIDORVPolydactlyly, webbed neck130
AVSD
Absent PV
144UnkIDORVCL, hemivertebrae130
TGA
Overriding TV
145UnkIIDORVInguinal hernia, hydronephrosis130
AVSD
TGA
PA
  • Abnl, abnormal; Ao, aorta; AoA, aortic arch; AoV, aortic valve; ASD, atrial septal defect; AVSD, atrioventricular septal defect; Bilat, bilateral; CA, coronary artery; CAVC, complete atrioventricular canal; CDH, congenital diaphragmatic hernia; CFD, craniofacial dysmorphism; CL/CP, cleft lip/cleft palate; Coarct, coarctation; CS, coronary sinus; DILV, double inlet left ventricle; DORV, double outlet right ventricle; dyspl, dysplastic; ECA, extracardiac anomalies; FTT, failure to thrive; HTN, hypertension; Hypo, hypoplastic; IAA, interrupted aortic arch; IVC, inferior vena cava; IUGR, intrauterine growth retardation; LA, left atrium; LPA, left pulmonary artery; LSVC, persistent left superior vena cava; LV, left ventricle; LVNC, left ventricular non-compaction; MA, mitral atresia; Malrot, malrotation; MD, Meckel’s diverticulum; MV, mitral valve; NL, normal; PA, pulmonary atresia; PS, pulmonary stenosis; Pulm art, pulmonary artery; PV, pulmonary valve; RA, right atrium; RSCA, right subclavian artery; RV, right ventricle; SUA, single umbilical artery; TAPVC, total anomalous pulmonary venous connection; TAPVR, total anomalous pulmonary venous return; TGA, transposition of the great arteries; TOF, tetralogy of Fallot; TV, tricuspid valve; Unk, unknown; VCFS, velocardiofacial syndrome; VPI, velopharyngeal insufficiency; VSD, ventricular septal defect.