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Cardiac herniation after extrapleural pneumonectomy
Natsumasa Nishizawa1, Toshihiro Osaki1, Yukiko Fukuichi1
1Department of Chest Surgery, Iizuka Hospital, Iizuka, Fukuoka, Japan.
Abstract:
Cardiac herniation is a fatal complication in patients undergoing pneumonectomy with pericardial resection. A 53-year-old man underwent right-sided extrapleural pneumonectomy for malignant pleural mesothelioma. He underwent right-sided pericardial resection and reconstruction with an expanded polytetrafluoroethylene sheet. Routine chest radiography performed 18 h postoperatively revealed cardiac herniation into the right-sided thoracic cavity. The patient was immediately transferred to the operating room, and the defect was repaired. He died of tumor progression. However, cardiac herniation did not recur over 2 years postoperatively.
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