HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Peter Goldstraw Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Goldstraw, P. Articles by Jiao, X. Search for Related Content PubMed PubMed Citation Articles by Goldstraw, P. Articles by Jiao, X.

Ann Thorac Surg 1996;61:1112-1114
© 1996 The Society of Thoracic Surgeons

---

Original Article: General Thoracic

Pericardial Repair After Extensive Resection: Another Use for the Pedicled Diaphragmatic Flap

Department of Thoracic Surgery, Royal Brompton Hospital, London, England

Accepted for publication December 27, 1995.

Background. Extended resection for pulmonary malignancy frequently leaves a large pericardial defect, sometimes associated with resection of the phrenic nerve. On the left the defect does not require repair; as long as the defect is sufficiently large to avoid constriction, the heart can herniate freely. On the right such herniation is associated with venous inflow occlusion and death. The pedicled diaphragmatic flap has been used in other situations in thoracic surgery. We have modified this to allow closure of the pericardial defect and concurrent plication of the denervated diaphragm. It may also be used to cover the bronchial stump or a bronchial anastomosis.

Methods. The flap has been used in 13 patients over an 11-year period.

Results. Secure closure of the pericardial defect has been achieved in all patients with satisfactory plication of the diaphragm. Reoperation for bleeding was necessary in 3 patients, but in only 1 was the diaphragm shown to be the site of bleeding. Patients otherwise made an uneventful recovery.

Conclusions. A large pedicled flap of redundant diaphragm provides secure closure for large pericardial defects after extended right pneumonectomy.

This article has been cited by other articles:

				D. Lardinois, A. Horsch, T. Krueger, M. Dusmet, and H.-B. Ris Mediastinal reinforcement after induction therapy and pneumonectomy: comparison of intercostal muscle versus diaphragm flaps Eur. J. Cardiothorac. Surg., January 1, 2002; 21(1): 74 - 78. [Abstract] [Full Text] [PDF]

				C. Foroulis, Chr. Kotoulas, M. Konstantinou, and A. Lioulias The use of pedicled pleural flaps for the repair of pericardial defects, resulting after intrapericardial pneumonectomy Eur. J. Cardiothorac. Surg., January 1, 2002; 21(1): 92 - 93. [Abstract] [Full Text] [PDF]

				G. Veronesi, L. Spaggiari, P.G. Solli, and U. Pastorino Cardiac dislocation after extended pneumonectomy with pericardioplasty Eur. J. Cardiothorac. Surg., January 1, 2001; 19(1): 89 - 91. [Abstract] [Full Text] [PDF]

				T. C. Mineo and V. Ambrogi THE DIAPHRAGMATIC FLAP: A MULTIUSE MATERIAL IN THORACIC SURGERY J. Thorac. Cardiovasc. Surg., December 1, 1999; 118(6): 1084 - 1089. [Abstract] [Full Text] [PDF]