PurposeCaring for single ventricle ventricular assist devices (SVAD) comes with challenging anatomy, management, and complexities in decision-making the entire care team, including family.MethodsOur case highlights ethical medical/surgical challenges of supporting an SVAD patient insights uncovered during a prolonged in-hospital course.ResultsA 3 yr old, 17 kg decompensating hemi-Fontan was adm...