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Acute cardiac herniation following right pericardial pneumonectomy
Acute cardiac herniation following right pericardial pneumonectomy
İlker İskender, Aysun Kosif Mısırlıoğlu, Levent Alpay, Altan Kır, Ali Atasalihi
Süreyyapaşa Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi 2. Göğüs Cerrahisi Kliniği, İstanbul
Cardiac herniation is a rare complication of intrapericardial
pneumonectomy and has a high mortality rate. A 33-yearold
male patient underwent pericardial pneumonectomy
together with excision of a malignant invasive thymoma.
Cardiac herniation was diagnosed by clinical and radiographic
manifestations of hypoxia and hypotension in the
early postoperative period. An emergency revision operation
was performed, during which the heart was repositioned
and the pericardial defect was repaired with a polytetrafluoroethylene
(PTFE) graft. A chest x-ray obtained
after revision showed normal position of the heart.
Keywords : Hernia/etiology; pneumonectomy/adverse effects
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