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Closure of recurrent VSD due to dehiscence of calcified patch
Thomas Walther1, Victor T Tsang, John E Deanfield
1Klinik fur Herzchirurgie, Universitat Leipzig, Herzzentrum, Strumpellstrasse 39, 04289 Leipzig, Germany. walt@medizin.uni-leipzig.de
Abstract:
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.