Pleural Dural Fistula After Anterior Excision of Thoracic Disc Hernia: Suggested Repair Procedure.
Adult
Arthrodesis
/ adverse effects
Female
Fistula
/ diagnosis
Humans
Intercostal Muscles
/ transplantation
Intervertebral Disc Displacement
/ diagnosis
Magnetic Resonance Imaging
Pleural Diseases
/ diagnosis
Postoperative Complications
Radiography, Thoracic
Reoperation
Surgical Flaps
Thoracic Vertebrae
Thoracotomy
/ methods
Journal
The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R
Informations de publication
Date de publication:
03 2019
03 2019
Historique:
received:
08
06
2018
revised:
23
06
2018
accepted:
22
07
2018
pubmed:
30
9
2018
medline:
12
11
2019
entrez:
30
9
2018
Statut:
ppublish
Résumé
A young woman displayed a dural tear during thoracic spine surgery. The corpectomy was by anterior approach, after thoracotomy. The dural defect was plastered by a fatty flap and a pleural layer. One month later, she exhibited a right pleural effusion. No consensual intervention is available for this complication. This dural fistula was sealed by a triple patch comprising a flap of intercostal muscles. The incidence of dural leaks following an anterior thoracic spinal surgery is infrequent but not rare. A long delay from the index surgery is unusual. Three years after the repair, the patient is free from complaints.
Identifiants
pubmed: 30266610
pii: S0003-4975(18)31314-6
doi: 10.1016/j.athoracsur.2018.07.065
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e191-e193Informations de copyright
Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.