title: Pleural flap for treating perigraft leak after a modified Blalock-Taussig shunt.
abstract: 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 1/2 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.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Dokuz Eylul University Medical School, Izmir, Turkey. ugurlub@yahoo.com
authors.forename: Baran Sevket
authors.initials: BS
authors.lastname: Ugurlu
authors.forename: Osman Nejat
authors.initials: ON
authors.lastname: Sariosmanoglu
authors.forename: Sadik Kivanc
authors.initials: SK
authors.lastname: Metin
authors.forename: Eyup
authors.initials: E
authors.lastname: Hazan
authors.forename: Oztekin
authors.initials: O
authors.lastname: Oto
mesh_terms: D019917:Blood Vessel Prosthesis Implantation; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007223:Infant; D010996:Pleural Effusion / Q000601:surgery; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000601:surgery*; D011475:Prosthesis Failure; D012086:Reoperation; D013524:Surgical Flaps
chemical_list: D011138:Polytetrafluoroethylene