{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:07:04Z","timestamp":1777878424456,"version":"3.51.4"},"reference-count":6,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2016,5,6]],"date-time":"2016-05-06T00:00:00Z","timestamp":1462492800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1177\/2150135116634291","type":"journal-article","created":{"date-parts":[[2016,5,7]],"date-time":"2016-05-07T09:32:29Z","timestamp":1462613549000},"page":"400-403","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Ventricular Septal Defect Creation: A Viable Option to Decompress a Large Non-Systemic Left Ventricle in a Fontan Patient"],"prefix":"10.1177","volume":"8","author":[{"given":"Ahmad","family":"Elderie","sequence":"first","affiliation":[{"name":"Division of Pediatric Cardiothoracic Surgery, Heart Institute, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhi","family":"Reddy","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiothoracic Surgery, Heart Institute, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farhan","family":"Zafar","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiothoracic Surgery, Heart Institute, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Russel","family":"Hirsch","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Heart Institute, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David L. 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