Ventricular Septal Defect Creation: A Viable Option to Decompress a Large Non-Systemic Left Ventricle in a Fontan Patient

Author:

Elderie Ahmad1,Reddy Abhi1,Zafar Farhan1,Hirsch Russel2,Morales David L. S.1

Affiliation:

1. Division of Pediatric Cardiothoracic Surgery, Heart Institute, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

2. Division of Cardiology, Heart Institute, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

Abstract

When the interventricular septum is intact, a well-formed non-systemic ventricle with no outlet is prone to hypertension and hypertrophy after Fontan operation. Herein, we report a patient who had a complex d-transposition of the great arteries palliated over 14 years ago with a Fontan operation and presented with a hypertensive left ventricle (LV) contributing to heart failure. He underwent surgical creation of a ventricular septal defect to decompress the LV and was able to resume his desired lifestyle.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Pediatrics, Perinatology and Child Health,Surgery

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