Use of Omental Flap for Treating Cardiocutaneous Fistula After Ventricular Aneurysm Repair

Pleuroperitoneal (Denver) Shunt for Recurrent Nonmalignant Breast Seroma in a Metastatic Breast Cancer Patient

“…It is hypothesized that it could be a pleural fluid buildup or even pericardial fluid. 8 Imaging did not identify the intrathoracic accumulation of fluid even with significant seroma formation in the breast (Fig. 2 ).…”

Cardiocutaneous fistula 15 years postcardiac surgery: A real challenge

“…Furthermore, in case of the severely infected suture line post‐LV aneurysmectomy or other cardiac operation, after the removal of the Teflon pledgets and infected surrounding tissues, a reinforcement of the suture line with autologous pericardium pledgets is advisable to avoid iatrogenic rupture or formation of the pseudoaneurysm. In the extreme case of combined mediastinitis and severe extended infection, an omental pedicle flap can also be used with good results 9 . If the CF is left surgically untreated or delayed for a prolonged time the consequences can be fatal due to cardiac wall rupture or refractory septic shock 10,11 .…”

“…In the extreme case of combined mediastinitis and severe extended infection, an omental pedicle flap can also be used with good results. 9 If the CF is left surgically untreated or delayed for a prolonged time the consequences can be fatal due to cardiac wall rupture or refractory septic shock. 10,11 The removal of all foreign bodies related to infection is the gold standard treatment since with the removal of CF and underlying sternal wires only, the fistulous tract can still recur.…”