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Ann Thorac Surg 2006;82:1922-1923
© 2006 The Society of Thoracic Surgeons

How To Do It

Cyanoacrylate Adhesive Coating for the Treatment of Serous Leaks From Modified Blalock-Taussig Gore-Tex Shunts

Ben Davies, MRCS(Eng)*, Yves d'Udekem, MD, PhD, Christian P. Brizard, MD, MS

Cardiac Surgical Unit, Royal Children's Hospital, Parkville, Australia

Accepted for publication January 10, 2006.

* Address correspondence to Dr Davies, Cardiac Surgical Unit, Royal Children's Hospital, Flemington Rd, Parkville, VIC 3052 Australia. (Email: ben.davies{at}mcri.edu.au).

Serous leakage and intrathoracic collections from expanded polytetrafluoroethylene (ePTFE) conduits used for modified Blalock-Taussig shunts are an uncommon but challenging clinical problem. We describe a simple technique using an externally applied cyanoacrylate adhesive with an ePTFE wrap leading to rapid and safe resolution without contamination of the mediastinum and facilitating later reoperation.






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