Duro-pleural fistula following ligation of patent ductus arteriosus

Kale, Suresh Babu; Kole, Shrikant D

doi:10.1007/s12055-005-0052-0

Cited by 1 publication

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“…Subarachnoid-pleural fistula (SPF) is an abnormal communication between the subarachnoid and pleural spaces that normally can arise from blunt or penetrating trauma or as a complication of chest operation. This occurs infrequently following cardiothoracic surgery for lung or chest wall [ 1 ] resection and closure of patent ductus arteriosus [ 2 ], spine surgery for transthoracic discectomy [ 3 , 4 ], removal of vertebral tumors [ 5 ], or spinal fusion [ 6 ]. Symptoms develop from the accumulation of pleural fluid, the reduced volume of cerebrospinal fluid (CSF), the presence of intracranial air, or the development of meningitis, with outcomes ranging from benign to catastrophic.…”

Section: Introductionmentioning

confidence: 99%

Subarachnoid-Pleural Fistula: Applied Anatomy of the Thoracic Spinal Nerve Root

et al. 2011

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Subarachnoid-pleural fistula (SPF) is a rare complication of chest or spine operations for neoplastic disease. Concomitant dural and parietal pleural defects permit flow of cerebrospinal fluid into the pleural cavity or intrapleural air into the subarachnoid space. Dural injury recognized intraoperatively permits immediate repair, but unnoticed damage may cause postoperative pleural effusion, intracranial hypotension, meningitis, or pneumocephalus. We review two cases of SPF following surgical intervention for chest wall metastatic disease to motivate a detailed review of the anatomy of neural, osseous, and ligamentous structures at the intervertebral foramen. We further provide recommendations for avoidance and detection of such complication.

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