title: Late development of functional subvalvar stenosis after repair of truncus arteriosus.
abstract: The late development of subvalvar stenosis following truncus repair is described. It may occur in patients with an overriding truncal valve and a relatively small ventricular septal defect (VSD) closed with an inappropriately sized patch. Management consisted in enlarging the VSD and closing it with a large, tailored patch. Consideration should be given to enlarging the VSD at the time of original repair if the truncal valve is overriding.
authors.affiliation: Department of Surgery, University of Iowa Hospitals and Clinics, John Colloton Pavilion, Iowa City, IA 52242, USA.
authors.forename: R E
authors.initials: RE
authors.lastname: Delius
authors.forename: R P
authors.initials: RP
authors.lastname: Embrey
authors.forename: D M
authors.initials: DM
authors.lastname: Behrendt
mesh_terms: D000293:Adolescent; D000792:Angiography; D002312:Cardiomyopathy, Hypertrophic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D002675:Child, Preschool; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D013997:Time Factors; D014339:Truncus Arteriosus, Persistent / Q000601:surgery*