Repair of RSOV with VSD

20 year old boy presented with cough and dyspnea
on exertion. He underwent echocardiography which 
revealed RSOV opening into RVOT with VSD. On 
routine investigations, it was found that LFTs and RFTs 
were mildly deranged. He was taken up for corrective
surgery. 

Both aorta and RVOT were opened, wind sock and
 VSD were visualised (wind sock excised) and subsequently 
closed with dacron patch with interrupted/continuous 
4-0 proline sutures. Post-op course was uneventful and 
he was discharged on 6th post-op day.