HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Thomas Walther Victor T. Tsang Marc R. de Leval Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Walther, T. Articles by de Leval, M. R. Search for Related Content PubMed PubMed Citation Articles by Walther, T. Articles by de Leval, M. R. Related Collections Congenital - acyanotic

Eur J Cardiothorac Surg 2003;23:246-247
© 2003 Elsevier Science NL

Case report

Closure of recurrent VSD due to dehiscence of calcified patch

^a Klinik fur Herzchirurgie, Universitat Leipzig, Herzzentrum, Strumpellstrasse 39, 04289 Leipzig, Germany
^b Great Ormond Street Hospital for Children NHS Trust, London, UK

Received 21 July 2002; received in revised form 30 October 2002; accepted 5 November 2002.

* Corresponding author. Tel.: +49-341-865-1424; fax: +49-341-865-1452
e-mail: walt{at}medizin.uni-leipzig.de

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.

Key Words: Repeat ventricular septal defects closure • Calcified patch • Aortic and tricuspid valve