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Ann Thorac Surg 2006;81:1510-1512
© 2006 The Society of Thoracic Surgeons

Case report

Rupture of a Synthetic VSD Patch 28 Years After Total Correction of Fallot's Anomaly

Tobias Kühme, MD, PhD * , Kåge Säfström, MD, PhD, Niels Erik Nielsen, MD, PhD, Eva Nylander, MD, PhD, Christian Olin, MD, PhD

Linköping Heart Center, University Hospital, Linköping, Sweden

Accepted for publication March 18, 2005.

* Address correspondence to Dr Kühme, Department of Cardiovascular Surgery and Anaesthesia, Linköping Heart Center, University Hospital, Linköping, 581 85 Sweden (Email: tobias.kuhme{at}lio.se).

Patients operated on for complex congenital heart malformations need continuous follow-up. We present a male patient born in 1948 with Fallot's anomaly. A total correction was performed when he was 21 years old. Twenty-eight years after the operation, at routine follow-up, he presented with a significant left-to-right shunt because of a new ventricular septal defect. During the operation we found the original patch to be fractured with a central perforation. The patient received a new patch and has been without any clinical symptoms since.






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Copyright © 2006 by The Society of Thoracic Surgeons.