Document Detail


Autologous pericardium patch aneurysm after ventricular septal defect closure and arterial switch operation.
MedLine Citation:
PMID:  19583626     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A neonate with L-transposition of the great arteries with ventricular septal defect underwent complete repair using fresh autologous pericardium to close the ventricular septal defect as well as to reconstruct the neo pulmonary artery sinuses. Four months later, the child came back with right ventricular inflow obstruction related to aneurysmal pericardial patch, severe tricuspid regurgitation, and severe supra-valvular pulmonic stenosis. At reoperation, there was a redundant, aneurysmal pericardial patch densely adherent to the septal and posterior leaflets of the tricuspid valve, which was damaged. The pericardial patch was replaced, the pulmonary artery enlarged, and tricuspid valve repaired. Postoperative course was uneventful, but residual moderate tricuspid regurgitation required intensive medical treatment.
Authors:
Fernando A Atik; Jorge Y Afiune; Luiz Fernando Caneo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  24     ISSN:  1540-8191     ISO Abbreviation:  J Card Surg     Publication Date:    2009 Jul-Aug
Date Detail:
Created Date:  2009-07-08     Completed Date:  2009-10-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  479-80     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Heart Institute of Federal District, Zerbini Foundation, Estrada Parque Contorno do Bosque s/n, Brasilia, Brazil. fernando.atik@incordf.zerbini.org.br
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MeSH Terms
Descriptor/Qualifier:
Aneurysm / etiology*,  surgery
Heart Septal Defects, Ventricular / surgery*
Humans
Infant, Newborn
Male
Pericardium / transplantation*
Postoperative Complications*
Pulmonary Artery / surgery
Pulmonary Subvalvular Stenosis / etiology,  surgery
Transplantation, Autologous
Transposition of Great Vessels*
Tricuspid Valve / surgery
Tricuspid Valve Insufficiency / etiology,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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