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The Annals of Thoracic Surgery, Vol 21, 67-69, Copyright © 1976 by The Society of Thoracic Surgeons

ARTICLES

Pleural flap closure of pericardial defects following intrapericardial pneumonectomy

FG Schechter, RR Owens and LR Bryant

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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