title: 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.
authors.affiliation: 1 Division of Pediatric Cardiothoracic Surgery, Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Elderie
authors.affiliation: 1 Division of Pediatric Cardiothoracic Surgery, Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
authors.forename: Abhi
authors.initials: A
authors.lastname: Reddy
authors.affiliation: 1 Division of Pediatric Cardiothoracic Surgery, Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
authors.forename: Farhan
authors.initials: F
authors.lastname: Zafar
authors.affiliation: 2 Division of Cardiology, Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
authors.forename: Russel
authors.initials: R
authors.lastname: Hirsch
authors.affiliation: 1 Division of Pediatric Cardiothoracic Surgery, Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
authors.forename: David L S
authors.initials: DLS
authors.lastname: Morales
mesh_terms: D000293:Adolescent; D018729:Fontan Procedure / Q000379:methods*; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D008297:Male; D054088:Ventricular Septum / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: Univentricular heart; congenital heart surgery; total cavopulmonary connection; ventricular septal defect