Abstract |
Two different clinical manifestations of perigraft-reactions complicating the implantation of prosthetic aortopulmonary shunts in children with cyanotic congenital heart disease are described and discussed. The incidence of this complication in the past 5 years in our own patients was 3%. The appearance of a localized mass on the chest film surrounding the prosthesis requires the exclusion of a hematoma, aneurysm or inflammation. In the case of a massive serous pleural effusion examination of the ingredients leads to diagnosis. Concerning our own patients the fluid is identical with serum; the leakage through the prosthesis can therefore be called plasmapheresis. The claimed pathogenetic causes are discussed intensively, including a chylothorax promoting this complication in the second case. Local variations in porosity and structure of the implanted prosthesis may play a critical role in the pathogenesis of perigraft-reaction, as indicated by both our reported cases. In the event of unsuccessful observation of a localized perigraft seroma or of unsuccessful chest drainage of a massive pleural serous effusion, graft replacement and placement of a different graft material are found to have the best results.
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Authors | E Feil, G Arnold, A Borowski, U Mennicken |
Journal | Zeitschrift fur Kardiologie
(Z Kardiol)
Vol. 81
Issue 5
Pg. 283-9
(May 1992)
ISSN: 0300-5860 [Print] Germany |
Vernacular Title | Perigraft-Reaktion. Eine Komplikation nach Anlage eines Prothesenshunts bei Kindern mit angeborenen zyanotischen Herzfehlern. |
PMID | 1621409
(Publication Type: Case Reports, English Abstract, Journal Article)
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Chemical References |
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Topics |
- Blood Vessel Prosthesis
- Child
- Female
- Foreign-Body Reaction
(pathology)
- Graft Occlusion, Vascular
(pathology)
- Heart Defects, Congenital
(pathology, surgery)
- Humans
- Male
- Polytetrafluoroethylene
- Postoperative Complications
(pathology)
- Pulmonary Artery
(pathology, surgery)
- Reoperation
- Subclavian Artery
(pathology, surgery)
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