title: Infected interventricular Teflon patch: repair and closure of fistula with omentum.
abstract: 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.
authors.affiliation: Department of Cardiothoracic Surgery, St George's Hospital, London.
authors.forename: A
authors.initials: A
authors.lastname: Chatzis
authors.forename: J
authors.initials: J
authors.lastname: Pepper
authors.forename: T
authors.initials: T
authors.lastname: Treasure
mesh_terms: 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
chemical_list: D011138:Polytetrafluoroethylene