Ventricular septal defect closure with a fenestrated patch is a recognized rescue maneuver to decrease the risk of right ventricular failure after complete repair in patients with pulmonary atresia. If the fenestration needs surgical closure, severe calcification of the patch may make it extremely difficult. We describe the closure of such a defect in a 6-year-old boy, using a double Dacron patch sandwich.
KirklinJWBlackstoneEHShimazakiYMaeharaTPacificoADKirklinJK. Survival, functional status, and reoperations after repair of tetralogy of Fallot with pulmonary atresia. J Thorac Cardiovasc Surg1988; 96: 102–116.
2.
MarshallACLoveBALangPJonasRAdel NidoPJMayerJE. Staged repair of tetralogy of Fallot and diminutive pulmonary arteries with a fenestrated ventricular septal defect patch. J Thorac Cardiovasc Surg2003; 126: 1427–1433.
3.
WaltherTTsangVTDeanfieldJEde LevalMR.Closure of recurrent VSD due to dehiscence of calcified patch. Eur J Cardiothorac Surg2003; 23: 246–247.
4.
SawatariKImaiYKurosawaHIsomatsuYMommaK.Staged operation for pulmonary atresia and ventricular septal defect with major aortopulmonary collateral arteries. J Thorac Cardiovasc Surg1989; 98: 738–750.
5.
IyerKSMeeRB.Staged repair of pulmonary atresia with ventricular septal defect and major systemic to pulmonary artery collaterals. Ann Thorac Surg1991; 51: 65–72.
