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Ann Thorac Surg 1988;46:351-352
© 1988 The Society of Thoracic Surgeons


Articles

Traumatic Rupture of Extracardiac Valved Conduit: Unusual Late Complication Producing Outflow Tract Obstruction

Philip C. Ursell, M.D.*, Sylvia P. Griffiths, M.D., Frederick O. Bowman, Jr., M.D.

From the Departments of Pathology, Pediatrics, and Surgery, Columbia University College of Physicians and Surgeons and the Presbyterian Hospital, New York, NY

Accepted for publication March 31, 1988.

* Address reprint requests to Dr. Ursell, Department of Pathology, Babies Hospital, Box 37, 3959 Broadway, New York, NY 10032.

A 22-year-old woman died suddenly 15 years after successful repair of truncus arteriosus with a valved Dacron conduit. At autopsy there was complete obstruction of the right ventricular outflow tract by a large organizing thrombus between the outer aspect of the conduit and the adherent pericardial tissue. This rare late complication may have resulted from an unrecognized deceleration injury occurring at the time of a serious automobile accident 5 months before death.







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