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Ann Thorac Surg 2002;73:1638-1640
© 2002 The Society of Thoracic Surgeons

Case report

Pleural flap for treating perigraft leak after a modified blalock-taussig shunt

Baran Sevket Ugurlu, MD*a, Osman Nejat Sariosmanoglu, MDa, Sadik Kivanc Metin, MDa, Eyup Hazan, MDa, Oztekin Oto, MDa

a Department of Thoracic and Cardiovascular Surgery, Dokuz Eylul University Medical School, Izmir, Turkey

Accepted for publication September 7, 2001.

* Address reprint requests to Dr Ugurlu, Dokuz Eylul Universitesi Tip Fakultesi, Gogus Kalp ve Damar Cerrahisi Anabilim Dali, Balcova 35340 Izmir, Turkey
e-mail: ugurlub{at}yahoo.com

Plasa oozing through the graft after a modified Blalock-Taussig shunt is a troublesome complication. We encountered a massive leak following a modified Blalock-Taussig shunt in a 2 year-old-girl which required reexploration. The leak was treated by wrapping the polytetrafluoroethylene shunt with the parietal pleura flap harvested from the adjacent chest wall. The patient had an uneventful recovery. Covering of the polytetrafluoroethylene shunt with parietal pleura appears to stop plasma leak through the graft following a modified Blalock-Taussig shunt.




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