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Updated: Jun 8, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease

Implantation of Total Artificial Heart in Congenital Heart Disease

Published on: July 18, 2014

Acute postoperative cardiac herniation.

Kenji Kawamukai¹, Filippo Antonacci, Salomone Di Saverio

¹Department of Thoracic Surgery, Maggiore and Bellaria Hospitals, Via Altura 3, 40139 Bologna, Italy. Kenjikawamukai@yahoo.it

Interactive Cardiovascular and Thoracic Surgery

|October 14, 2010

Summary

Acute cardiac herniation is a rare complication after pneumonectomy. This case highlights a postoperative cardiac herniation due to pericardial prosthesis dehiscence, successfully repaired.

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Area of Science:

Cardiothoracic Surgery
Thoracic Oncology
Medical Imaging

Background:

Pneumonectomy with pericardial resection can lead to rare complications.
Malignant pleural mesothelioma treatment often involves neoadjuvant chemotherapy and surgery.
Cardiac herniation is an uncommon but serious postoperative risk.

Observation:

A patient developed asymptomatic massive dextrocardia post-right extrapleural pneumonectomy.
Postoperative chest X-ray identified the unexpected cardiac displacement.
Surgical re-exploration revealed a partial dehiscence of the pericardial prosthesis suture.

Findings:

The primary cause of cardiac herniation was identified as a suture dehiscence in the pericardial prosthesis.
The cardiac herniation was successfully repaired by addressing the prosthetic defect.
The patient experienced no adverse sequelae following the repair.

Implications:

This case underscores the importance of meticulous pericardial reconstruction after pneumonectomy.
Early recognition of cardiac herniation through imaging is crucial for timely intervention.
Reinforces awareness of potential cardiac complications in thoracic surgery patients.