Closure of recurrent VSD due to dehiscence of calcified patch.
Closure of residual ventricular septal defects may be extremely difficult in the presence of severe calcification of a previous patch. Removal of such calcification carries a risk of damaging the aortic and tricuspid valve as well as the conduction system. We describe a novel technique for closure of such a defect placing a new patch over and around the calcified one in an 18-year-old patient who had undergone initial surgery 12 years ago.
Walther
Thomas
T
Klinik fur Herzchirurgie, Universitat Leipzig, Herzzentrum, Strumpellstrasse 39, 04289 Leipzig, Germany. walt@medizin.uni-leipzig.de
Tsang
Victor T
VT
Deanfield
John E
JE
de Leval
Marc R
MR
D000293:Adolescent; D002114:Calcinosis / Q000150:complications*; D020878:Device Removal; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D011475:Prosthesis Failure; D018633:Pulmonary Atresia / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D013997:Time Factors