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Ann Thorac Surg 1976;21:67-69
© 1976 The Society of Thoracic Surgeons

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Articles

Pleural Flap Closure of Pericardial Defects Following Intrapericardial Pneumonectomy

Section of Thoracic and Cardiovascular Surgery, Louisiana State University Medical Center, New Orleans, LA

Accepted for publication June 5, 1975.

^* Address reprint requests to Dr. Schechter, Section of Thoracic and Cardiovascular Surgery, Room 713, Louisiana State University Medical Center, 1542 Tulane Ave, New Orleans, LA 70112

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.

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