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

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.

Keywords

Univentricular heart congenital heart surgery ventricular septal defect total cavopulmonary connection

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