Bulboventricular foramen enlargement: an alternative surgical approach

  • Sachin TalwarEmail author
  • Bharat Siddharth Chigurupati
  • Sukhjeet Singh
  • Shiv Kumar Choudhary
Case Report


Bulboventricular foramen (BVF) enlargement is often required to enlarge a restrictive interventricular communication in patients with univentricular hearts (UVH) to prevent the development of systemic ventricular outflow tract obstruction (SVOTO). We describe an alternative surgical technique through the transected pulmonary artery without an atriotomy, ventriculotomy or aortotomy that was successfully performed in a patient with double inlet left ventricle (DILV) with malposed great arteries (MPGA) and a restrictive BVF.


Single ventricle Subaortic obstruction Bulboventricular foramen 


Compliance with ethical standards

Statement of human rights/ethical approval

All procedures performed in this study were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this study, formal consent was obtained.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2018

Authors and Affiliations

  1. 1.Cardiothoracic CentreAll India Institute of Medical SciencesNew DelhiIndia
  2. 2.Department of Cardiothoracic and Vascular SurgeryAll India Institute of Medical SciencesNew DelhiIndia

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