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Infected interventricular Teflon patch: repair and closure of fistula with omentum.
  1. A Chatzis,
  2. J Pepper,
  3. T Treasure
  1. Department of Cardiothoracic Surgery, St George's Hospital, London.


    A pericardiocutaneous fistula five years after repair of a rupture of the ventricular septum was managed by removing all foreign material (Teflon). The resulting defect was repaired with part of the central tendon of the diaphragm and a pedicle of omentum was used to cover the heart. This radical approach was found necessary after other measures, including surgical excision of the fistula, had failed.

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