Double outlet right ventricle is a congenital heart defect where both the aorta and pulmonary artery attach to the right ventricle. (Normally, the aorta would be connected to the left ventricle and the pulmonary artery would be attached to the right ventricle.) This condition is always accompanied by a ventricular septal defect, which is a hole in the wall that divides the left and right ventricle. A baby born with a double outlet right ventricle may have breathing problems; bluish skin, lips and nails; profuse sweating when feeding; a lack of appetite; and an inability to gain weight as he or she should. The baby may also be lethargic and fairly unresponsive. Treatment for this condition includes intraventricular repair surgery or arterial switch surgery.