title: Fenestration closure in a calcified ventricular septal defect patch.
abstract: Ventricular septal defect closure with a fenestrated patch is a recognized rescue maneuver to decrease the risk of right ventricular failure after complete repair in patients with pulmonary atresia. If the fenestration needs surgical closure, severe calcification of the patch may make it extremely difficult. We describe the closure of such a defect in a 6-year-old boy, using a double Dacron patch sandwich.
authors.affiliation: Department of Pediatric Cardiothoracic Surgery, Great Ormond Street Hospital, London, UK. drrajashahzad@hotmail.com
authors.forename: Shahzad G
authors.initials: SG
authors.lastname: Raja
authors.forename: Iryna
authors.initials: I
authors.lastname: Atamanyuk
authors.forename: Ragini B
authors.initials: RB
authors.lastname: Pandey
authors.forename: Martin
authors.initials: M
authors.lastname: Kostolny
mesh_terms: D002114:Calcinosis / Q000209:etiology / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002648:Child; D006345:Heart Septal Defects, Ventricular / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D010496:Pericardium / Q000637:transplantation*; D011093:Polyethylene Terephthalates; D011474:Prosthesis Design; D019919:Prosthesis Implantation; D012086:Reoperation; D013536:Suture Techniques; D016896:Treatment Outcome
chemical_list: D011093:Polyethylene Terephthalates