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

Published online March 5, 2001

Copyright © Journal of Chest Surgery.

Cadiac Herniation Following Intrapericadial Pneumonectomy - A Case Report -

Eun Gu Hwang, M.D.*, Bum Shik Kim, M.D.*, Joo Chul Park, M.D.*

Department of Thoracic & Cardiovascular Surgery, College of Medicine. Kyung Hee University

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: 1. Pneumonectomy 2. Herniation

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Case

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

Published online March 5, 2001

Copyright © Journal of Chest Surgery.

Cadiac Herniation Following Intrapericadial Pneumonectomy - A Case Report -

Eun Gu Hwang, M.D.*, Bum Shik Kim, M.D.*, Joo Chul Park, M.D.*

Department of Thoracic & Cardiovascular Surgery, College of Medicine. Kyung Hee University

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: 1. Pneumonectomy 2. Herniation

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