INTRODUCTION: We report one case of subarachnoid-pleural fistula of a girl who had a thoracic surgery for patent ductus arteriosus ligation by left posterolateral thoracotomy approach. She experienced postoperative pleural effusion, which confirmed to be a cerebrospinal fluid fistula. Subarachnoid-pleural fistula is a rare complication seen in cardiothoracic surgery for chest wall, lung or spine operations for neoplastic disease caused by disruption of the costovertebral angle anatomy, exposing the subarachnoid space to the pleural cavity that prompted this report.
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