Left ventricular aneurysm with herniation through the chest wall
Erik Svensson1, Michael H Culig, Robert J Keenan
1Ed Dardanell Heart and Vascular Center, Forbes Regional Hospital, Monroeville, Pennsylvania, USA. esvensso@wpahs.org
The Annals of Thoracic Surgery
|August 25, 2012
Summary
Cardiac herniation, a rare and fatal condition, occurs after chest trauma or pneumectomy. Prompt surgical intervention is crucial for successful management of this medical emergency.
Area of Science:
- Cardiology
- Thoracic Surgery
- Emergency Medicine
Background:
- Cardiac herniation is a rare but life-threatening condition.
- It is often associated with significant morbidity and mortality.
- Typical causes include blunt chest trauma and post-pneumectomy complications.
Observation:
- Clinical presentation may include arrhythmia, myocardial ischemia, and hypotension.
- Diagnostic imaging plays a critical role in identification.
- Various modalities are available for diagnosis.
Findings:
- Computed tomography (CT) scan, chest roentgenogram, magnetic resonance imaging (MRI), and echocardiography are essential diagnostic tools.
- Early recognition of cardiac herniation is paramount.
- Timely surgical intervention is required for successful management.
Implications:
- This condition highlights the importance of rapid diagnosis and treatment in thoracic emergencies.
- Understanding the signs and symptoms can improve patient outcomes.
- Prompt surgical repair is key to survival in cardiac herniation.
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