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Related Experiment Videos

Aneurysmal pericardial patch producing right ventricular inflow obstruction.

G B Bennink1, F J Hitchcock, M Molenschot

  • 1Department of Cardiology, Wilhelmina Children's Hospital, Utrecht, The Netherlands.

The Annals of Thoracic Surgery
|April 20, 2001
PubMed
Summary

A 2-month-old infant experienced heart failure due to a dilated pericardial patch closing a ventricular septal defect (VSD). The patch was replaced with GoreTex, resolving the obstruction.

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Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease Surgery

Background:

  • Transposition of the great arteries (TGA) and ventricular septal defect (VSD) are common congenital heart defects.
  • Anatomical repair is the standard surgical approach for TGA and VSD.
  • Pericardial patches are frequently used for VSD closure during TGA repair.

Observation:

  • A 2-month-old infant, status post TGA and VSD repair, presented with acute heart failure.
  • Echocardiography revealed aneurysmal dilation of the native pericardial patch used for VSD closure.
  • The dilated patch caused significant right ventricular inflow obstruction.

Findings:

  • Surgical excision of the aneurysmal pericardial patch was performed.
  • The VSD was successfully re-closed using a GoreTex patch.

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  • Post-operative recovery was uneventful with resolution of heart failure symptoms.
  • Implications:

    • This case highlights a rare complication of pericardial patch aneurysm after VSD repair.
    • GoreTex patching offers a viable alternative for VSD closure in cases of patch failure.
    • Early diagnosis and surgical intervention are crucial for managing such complications in infants.