Circ Cardiovasc Imaging 11 (3): e006891, 2018. doi: 10.1161/CIRCIMAGING.117.006891 Symptoms and Signs of Double Outlet Right Ventricle The clinical manifestations of DORV range from severe cyanosis (with the Taussig-Bing anomaly or any VSD type with pulmonary stenosis) to congestive heart failure and pulmonary hypertension (with a subaortic VSD and no pulmonary outflow obstruction).