Double outlet left ventricle (DOLV) is a rare congenital heart defect in which both the aorta and the pulmonary artery arise from the left ventricle. This means that the left ventricle pumps blood to both the lungs and the body, instead of the normal pattern of the right ventricle pumping blood to the lungs and the left ventricle pumping blood to the body. This defect can cause serious health problems, including congestive heart failure, arrhythmias, and stroke. Treatment typically involves surgery to correct the defect.

The most common symptoms of double outlet left ventricle include:

- Rapid breathing
- Poor feeding
- Sweating
- Poor weight gain
- Poor growth
- Bluish skin color (cyanosis)
- Heart murmur
- Abnormal heart rhythm (arrhythmia)
- Excessive fatigue
- Poor exercise tolerance
- Swelling of the legs, feet, and abdomen (edema)
- Chest pain

Double outlet left ventricle is a congenital heart defect that occurs when both the aorta and the pulmonary artery arise from the left ventricle. It is caused by abnormal development of the heart during fetal development. Possible causes include genetic mutations, environmental factors, and maternal health conditions such as diabetes or obesity.

1. Surgery: The most common treatment for double outlet left ventricle is a surgical procedure called a “Rastelli procedure”. This procedure involves separating the aorta and pulmonary artery, and then connecting the left ventricle to the aorta and the right ventricle to the pulmonary artery.

2. Medication: Medications may be prescribed to help manage symptoms and reduce the risk of complications. These may include medications to reduce blood pressure, regulate heart rate, and reduce the risk of blood clots.

3. Pacemaker: A pacemaker may be recommended to help regulate the heart rate and improve the heart’s function.

4. Catheterization: A catheterization procedure may be used to measure the pressure in the heart chambers and to assess the heart’s function.

1. Genetic disorders such as Down syndrome, Turner syndrome, and Noonan syndrome.
2. Congenital heart defects such as ventricular septal defect (VSD) and atrioventricular septal defect (AVSD).
3. Maternal diabetes, obesity, and smoking during pregnancy.
4. Premature birth.
5. Family history of congenital heart defects.

Double outlet left ventricle is a congenital heart defect that is usually treated with surgery. Medications may be prescribed to help manage symptoms, such as diuretics to reduce fluid buildup in the lungs, or medications to reduce the risk of blood clots. In some cases, medications may be used to help control the heart rate or blood pressure.