Failure of Cellularization of Ventriculotomy Patch Leading to Right Ventricular Pseudoaneurysm. Issue 1 (January 2020)

• Record Type: Journal Article
• Authors: Rao, Sruti; Stewart, Robert D.; Pettersson, Gosta; Tan, Carmela; Golz, Suzanne; Komarlu, Rukmini
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 11:Issue 1(2020)
• Page Start: 123
• Page End: 126
• Publication Date: 2020-01
• Subjects: Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/2150135119880547
• Languages: English
• ISSNs: 2150-1351

Abstract

Enlargement of the bulboventricular foramen (BVF) in double-inlet left ventricle or the ventricular septal defect (VSD) in tricuspid atresia with transposition of the great arteries is one approach for prevention or treatment of systemic ventricular outflow obstruction. Most often, BVF/VSD restriction is bypassed preemptively or addressed directly at the time of Glenn/Fontan procedures as part of staged univentricular palliation. We describe a patient who underwent enlargement of a restrictive VSD during Fontan completion and subsequently presented with an asymptomatic pseudoaneurysm of the right ventricle at the ventriculotomy site.