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Ann Thorac Surg 1997;64:1227
© 1997 The Society of Thoracic Surgeons

Correspondence

Traumatic Subarachnoid–Pleural Fistula

Theodosios J. Dosios, MD

Division of Thoracic Surgery, Second Department of Propedeutic Surgery, Athens University Medical School, 2 Chatzigianni Mexi Str, 115 28 Athens, Greece

To the Editor:

I read with interest the article entitled "Traumatic Subarachnoid–Pleural Fistula" by Sarwal and associates in the December 1996 issue of The Annals [1]. Sarwal and associates presented 2 patients with traumatic subarachnoid–pleural fistula and found 21 others reported in the literature.

I am writing to add 1 more patient with traumatic subarachnoid–pleural fistula reported by me and my associates [2]. The patient was a 21-year-old man who had a gunshot injury of the thorax and the thoracic vertebral column resulting in paraplegia and a traumatic subarachnoid–pleural fistula at the T3-T4 level. The patient underwent operation on the 35th day after the injury, at which time the fistula was closed successfully with a fat pad and pieces of muscle covered by a pleural flap.

References

  1. Sarwal V, Krisham R, Sharma OP, et al. Traumatic subarachnoid–pleural fistula. Ann Thorac Surg 1996;62:1622–6.
  2. Dosios T, Tzouras AG, Tsaprounis G. Transthoracic repair of a traumatic subarachnoid-pleural fistula. Neurochirurgia 1989;32:82–3.[Medline]



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