A Novel Surgical Approach for Double-Outlet Right Ventricle With Noncommitted Ventricular Septal Defect

Double-outlet right ventricle (DORV) is a highly variable heart disease. Biventricular repair of noncommitted ventricular septal defect (VSD) forms of DORV is often overlooked in favor of palliative surgery such as Fontan. We present the case of a 7-year-old patient, with the diagnosis of noncommitted VSD DORV, who underwent biventricular correction, with good short-term result. The management of complex DORV with noncommitted VSD is evolving. Previously oriented toward Fontan palliation, it now benefits from surgical advances allowing biventricular repair, reflecting surgical advances preserving optimal heart physiology.