Abstract
Ventricular function and cardiac work are crucial determinants in the outcome of patients with palliated single ventricle anatomy. Optimizing ventricular mass/volume ratio and controlling the ventricular afterload are critical to promote ventricular efficiency. Selecting the appropriate aortopulmonary shunt size, an interval bidirectional Glenn (BDG), and removal of branch pulmonary artery stenosis are all thought to positively contribute to improved ventricular performance, yet, their effects remain largely unproven.
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