Infected interventricular Teflon patch: repair and closure of fistula with omentum.
A pericardiocutaneous fistula five years after repair of a rupture of the ventricular septum was managed by removing all foreign material (Teflon). The resulting defect was repaired with part of the central tendon of the diaphragm and a pedicle of omentum was used to cover the heart. This radical approach was found necessary after other measures, including surgical excision of the fistula, had failed.
Chatzis
A
A
Department of Cardiothoracic Surgery, St George's Hospital, London.
Pepper
J
J
Treasure
T
T
D005260:Female; D005402:Fistula / Q000601:surgery*; D006331:Heart Diseases / Q000601:surgery*; D006342:Heart Rupture, Post-Infarction / Q000601:surgery; D006346:Heart Septum / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D009852:Omentum / Q000601:surgery*; D011138:Polytetrafluoroethylene; D016459:Prosthesis-Related Infections / Q000601:surgery*; D012871:Skin Diseases / Q000601:surgery*; D013524:Surgical Flaps
D011138:Polytetrafluoroethylene