This week we review a recent report from the team at UTSW comparing early outcomes following biventricular repair vs. Fontan palliation for complex congenital heart disease with borderline ventricles or complex cardiac anatomy that may, in the past, have been immediate triggers for single ventricle palliation. Who is a good candidate for this sort of two ventricle approach and what anatomical types could be viewed as 'low lying fruit' for two ventricle palliation? How do early outcomes compare between these two very different approaches? Are we choosing Fontan approaches more commonly because of a perception of greater predictability? Is this true or accurate? Dr. Nicholas Andersen and Dr. Abhay Divekar of UTSW share their deep insights into this fascinating study and approach.
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