Palliative management of a low-birth-weight infant with congenitally corrected transposition of the great arteries, severe restrictive foramen ovale, hypoplasia of the morphologically right ventricle, ventricular septal defect, and steno-insufficiency of the tricuspid valve.

A 3-month-old girl weighing 2160 g was diagnosed with congenitally corrected transposition of the great arteries, a ventricular septal defect, severe restrictive foramen ovale, hypoplasia of the morphologically right ventricle, and steno-insufficiency of the tricuspid valve. As her hemodynamic condition (which was comparable to that of the single ventricle with obstructed pulmonary venous pathway) deteriorated progressively, she underwent a palliative operation at 4 months of age. Postoperatively, she was managed with the "low resistance strategy" to achieve a stabilized state of the pulmonary circulation. Currently, 1.5 years after the operation, she is doing remarkably well.