Korean J Thorac Cardiovasc Surg.  2001 Mar;34(3):249-251.

Cadiac Herniation Following Intrapericadial Pneumonectomy: A Case Report

Affiliations
  • 1Department of Thoracic & Cardiovascular Surgery, College of Medicine. Kyung Hee University, Korea.

Abstract

Cardiac herniation is a rare catastrophic complication of intrapericardial pneumonectomy. Untreated it is invariably fatal. Left pneumonectomy for removal of huge angiomatosis tumor in left lung was performed in a 44 year-old male patient. At the end of operation, the patient had cardiovascular collapse due to cardiac herniation. Repaired pericardial suture was teared and the heart was herniated in the left thorax. The hernated heart was edematous caused by compression and incarceration of the cardiac muscle by the edge of the pericardial rent. The heart was introduced into the pericardial sac and the defect was closed with large Goretex patch; however the patient ' s brain had sever hypoxic damage. This paper reports a case of cardiac herniation following left intrapericardial pneumonectomy.

Keyword

Pneumonectomy; Herniation

MeSH Terms

Adult
Angiomatosis
Brain
Heart
Humans
Lung
Male
Myocardium
Pneumonectomy*
Polytetrafluoroethylene
Sutures
Thorax
Polytetrafluoroethylene
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