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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

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Published on: September 11, 2021

Cardiac herniation through mediastinotomy incision.

Anjali Pingle¹, Khaled M Ismail, Abdelwahab Eshra

¹Department of Anaesthesia and Intensive Care, The Mid Yorkshire Hospitals, Dewsbury WF13 4HS, UK.

Journal of Clinical Anesthesia

|May 27, 2008

Summary

A man experienced cardiac arrest and was found to have cardiac herniation through his chest wall. This rare condition occurred after surgery for a mediastinal lipoma, requiring further investigation.

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Area of Science:

Cardiology
Thoracic Surgery
Medical Imaging

Background:

A 43-year-old male presented with cardiac arrest of unknown cause.
Past medical history significant for prior mediastinal lipoma resection.

Observation:

A left-sided chest wall mass was noted in the intensive care unit.
Echocardiography revealed cardiac herniation through the chest wall.

Findings:

Thoracic computed tomographic scan confirmed cardiac herniation.
The herniation was a complication potentially related to previous surgery.

Implications:

Highlights the importance of considering rare complications after thoracic surgery.
Underscores the diagnostic utility of echocardiography and CT scans in chest wall abnormalities.
Emphasizes the need for prompt diagnosis and management of cardiac herniation.