Rupture of a synthetic VSD patch 28 years after total correction of Fallot's anomaly.
Patients operated on for complex congenital heart malformations need continuous follow-up. We present a male patient born in 1948 with Fallot's anomaly. A total correction was performed when he was 21 years old. Twenty-eight years after the operation, at routine follow-up, he presented with a significant left-to-right shunt because of a new ventricular septal defect. During the operation we found the original patch to be fractured with a central perforation. The patient received a new patch and has been without any clinical symptoms since.
Kühme
Tobias
T
Linköping Heart Center, University Hospital, Linköping, Sweden. tobias.kuhme@lio.se
Säfström
Kåge
K
Nielsen
Niels Erik
NE
Nylander
Eva
E
Olin
Christian
C
D000328:Adult; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D019736:Prostheses and Implants; D011475:Prosthesis Failure; D013771:Tetralogy of Fallot / Q000601:surgery*; D013997:Time Factors
D011093:Polyethylene Terephthalates