An unusual late complication following surgical repair of tetralogy of Fallot
Yener, A.; Ayrancioğlu, K.; Aşlamaci, S.; Ekìcì, E.; Ikìzler, C.
Journal of Cardiovascular Surgery 31(5): 587-588
1990
ISSN/ISBN: 0021-9509 PMID: 2229154 Document Number: 359738
A case is presented of extrusion of right ventricular outflow tract patch material through a mediastino-cutaneous fistula occurring five years after repair of tetralogy of Fallot. The focus of the mediastinal infection was an infected epicardial pacemaker electrode placed at the time of initial surgery. Subsequent echocardiographic studies showed minimal right ventricular outflow tract or pulmonary arterial dilatation, and, with no further surgery, the child is well after two and a half years follow-up.