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Eur J Cardiothorac Surg 2003;23:1059-1061
© 2003 Elsevier Science NL


Case report

Late complication of bovine pericardium patches used for lung volume reduction surgery

Steeve Provencher*, Jean Deslauriers

Institut Universitaire de Cardiologie et de Pneumologie, Cardiology and Thoracic Institute of University Laval, Hôpital Laval, 2725 chemin Sainte-Foy, Sainte-Foy, QC, Canada G1V 4G5

Received 24 January 2003; accepted 5 March 2003.

* Corresponding author. Tel.: +1-418-656-8711; fax: +1-418-656-4762
e-mail: steeveprovencher{at}hotmail.com

Lung volume reduction surgery has recently become an option for the management of patients with severe emphysema. The procedure consist of resecting non-functional lung in order to improve respiratory mechanics. Because postoperative prolonged air leakage is a serious complication of the operation, most surgeons now use staplers reinforced with bovine pericardial strips to seal the lung. We report a patient where the migration of an intact pericardium patch caused an obstructive pneumonia and recurrent hemoptysis over several years.

Key Words: Metalloptysis • Reduction surgery • Pericardial staples




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