Surgical Ventricular Septal Defect Repair

Emmanuelle Fournier, MD; Bastien Provost, MD; Alice Dirickx, MD; Estibaliz Valdeolmillos, MD; Gregoire Albenque, MD; Clément Batteux, MD; Viktoria Weixler, MD, PhD; Sébastien Hascöet, MD, PhD; Emre Belli, MD, PhD

doi:10.1016/j.jaccas.2025.103797

JACC: Case Reports (Jul 2025)

Surgical Ventricular Septal Defect Repair

Emmanuelle Fournier, MD,
Bastien Provost, MD,
Alice Dirickx, MD,
Estibaliz Valdeolmillos, MD,
Gregoire Albenque, MD,
Clément Batteux, MD,
Viktoria Weixler, MD, PhD,
Sébastien Hascöet, MD, PhD,
Emre Belli, MD, PhD

Affiliations

Emmanuelle Fournier, MD: Department of Congenital Heart Diseases, Reference Center for Complex Congenital Cardiac Disease M3C, Marie Lannelongue Hospital, Plessis Robinson, France; Division of Cardiovascular Surgery, Labatt Family Heart Center, Hospital of Sick Children, Toronto Ontario, Canada; Address for correspondence: Dr Emmanuelle Fournier, 133 Ave de la Résistance, 92350 Le Plessis Robinson, France.
Bastien Provost, MD: Department of Congenital Heart Diseases, Reference Center for Complex Congenital Cardiac Disease M3C, Marie Lannelongue Hospital, Plessis Robinson, France; Division of Cardiovascular Surgery, Labatt Family Heart Center, Hospital of Sick Children, Toronto Ontario, Canada
Alice Dirickx, MD: Department of Congenital Heart Diseases, Reference Center for Complex Congenital Cardiac Disease M3C, Marie Lannelongue Hospital, Plessis Robinson, France
Estibaliz Valdeolmillos, MD: Department of Congenital Heart Diseases, Reference Center for Complex Congenital Cardiac Disease M3C, Marie Lannelongue Hospital, Plessis Robinson, France
Gregoire Albenque, MD: Department of Congenital Heart Diseases, Reference Center for Complex Congenital Cardiac Disease M3C, Marie Lannelongue Hospital, Plessis Robinson, France
Clément Batteux, MD: Department of Congenital Heart Diseases, Reference Center for Complex Congenital Cardiac Disease M3C, Marie Lannelongue Hospital, Plessis Robinson, France
Viktoria Weixler, MD, PhD: Division of Cardiovascular Surgery, Labatt Family Heart Center, Hospital of Sick Children, Toronto Ontario, Canada
Sébastien Hascöet, MD, PhD: Department of Congenital Heart Diseases, Reference Center for Complex Congenital Cardiac Disease M3C, Marie Lannelongue Hospital, Plessis Robinson, France
Emre Belli, MD, PhD: Department of Congenital Heart Diseases, Reference Center for Complex Congenital Cardiac Disease M3C, Marie Lannelongue Hospital, Plessis Robinson, France

DOI: https://doi.org/10.1016/j.jaccas.2025.103797
Journal volume & issue: Vol. 30, no. 17
p. 103797

Abstract

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Ventricular septal defects (VSDs), the most common of congenital heart defects, vary widely in anatomy and size. Surgical treatment of very large VSDs can be challenging because no clear recommendations exist about which defects can undergo biventricular repair with septation and which should instead be palliated. Although Fontan circulation is known to be associated with long-term morbidity, information is limited about how ventricular septation of large VSDs affects cardiac function. This case series describes the successful ventricular septation of 3 patients with large VSDs and the lessons we learned in treating them.

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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