PMID: 8607666Apr 1, 1996Paper

Pericardial repair after extensive resection: another use for the pedicled diaphragmatic flap

The Annals of Thoracic Surgery
P Goldstraw, X Jiao

Abstract

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. The flap has been used in 13 patients over an 11-year period. 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. A large pedicled flap of redundant diaphragm provides secure closure for large pericardial defects after extended right pneumonectomy.

References

Jan 1, 1976·The Annals of Thoracic Surgery·F G SchechterL R Bryant
Oct 1, 1991·Journal of Biomedical Materials Research·S MuralidharanL B McGrath
Sep 1, 1984·Annals of Plastic Surgery·H TsurM Heim
Oct 1, 1981·The British Journal of Surgery·A N Critselis
Feb 1, 1980·Thorax·P Goldstraw
Oct 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·K al-Kattan, P Goldstraw
Aug 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·J R IzbickiO Thetter
Mar 1, 1994·The Annals of Thoracic Surgery·E M GriffithsJ F Burman
Mar 1, 1993·The Annals of Thoracic Surgery·B C PapsinM Goldberg
Nov 1, 1995·The Annals of Thoracic Surgery·K M al-KattanP Goldstraw

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Citations

Feb 13, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·G VeronesiU Pastorino
May 19, 2011·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Yoshihisa ShimadaKanji Nagai
Jul 4, 2001·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·A YamaguchiT Ito
Aug 9, 2016·Journal of Cardiothoracic and Vascular Anesthesia·YinJie Zhao, Su Liu
Dec 14, 1999·The Journal of Thoracic and Cardiovascular Surgery·T C Mineo, V Ambrogi
Oct 5, 2005·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Kiyokazu TamesueTakehiro Nakajima

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