A method of treating serous fluid leak from a polytetrafluoroethylene Blalock-Taussig shunt.
A 3 1/2-year-old girl with complex cyanotic congenital heart disease underwent palliation with a modified Blalock-Taussig shunt, for which a 6 mm polytetrafluoroethylene graft was used. Seroma formation with serous leakage occurred. Two periods of conservative management failed. At reoperation, treatment of the graft with intraluminal "fibrin glue" resulted in immediate resolution of the leak.
D001807:Blood Vessel Prosthesis; D002675:Child, Preschool; D004338:Drug Combinations / Q000008:administration & dosage / Q000627:therapeutic use; D005122:Exudates and Transudates; D005176:Factor XIII / Q000008:administration & dosage / Q000627:therapeutic use*; D005260:Female; D015718:Fibrin Tissue Adhesive; D005340:Fibrinogen / Q000008:administration & dosage / Q000627:therapeutic use*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy; D013917:Thrombin / Q000008:administration & dosage / Q000627:therapeutic use*
D004338:Drug Combinations; D015718:Fibrin Tissue Adhesive; D005340:Fibrinogen; D011138:Polytetrafluoroethylene; D005176:Factor XIII; D013917:Thrombin