Pleural Flap Closure of Pericardial Defects Following Intrapericardial Pneumonectomy

Pleural Flap Closure of Pericardial Defects Following Intrapericardial Pneumonectomy

Persistent pericardial defects following intrapericardial pneumonectomy are, historically, the major cause of iatrogenic cardiac herniation. This complication is uniformly fatal when unrecognized and untreated and has been associated with a 43% mortality even with surgical correction. Suture approxi...

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Veröffentlicht in:The Annals of thoracic surgery 1976-01, Vol.21 (1), p.67-69
Hauptverfasser: Schechter, Frederick G., Owens, Richard R., Bryant, Lester R.
Format: Artikel
Sprache:eng
Schlagworte:
Heart Injuries - surgery
Herniorrhaphy
Humans
Methods
Pericardium - surgery
Pleura - surgery
Pneumonectomy - adverse effects
Suture Techniques
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Zusammenfassung:Persistent pericardial defects following intrapericardial pneumonectomy are, historically, the major cause of iatrogenic cardiac herniation. This complication is uniformly fatal when unrecognized and untreated and has been associated with a 43% mortality even with surgical correction. Suture approximation of all small defects is recommended, and a technique for routine pleural flap closure of moderate to large-sized defects is described.
ISSN:0003-4975
1552-6259
DOI:10.1016/S0003-4975(10)64891-6