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[Heart luxation following pneumonectomy]
Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|April 1, 1984
Summary
A rare heart herniation after pneumonectomy occurred due to suture dehiscence, requiring surgical repair. Another case involved pericardial fat mimicking a bulge after pericardial resection.
Area of Science:
- Cardiothoracic Surgery
- Thoracic Surgery
- Cardiac Surgery
Background:
- Pneumonectomy, a major lung surgery, can involve the pericardium.
- Pericardial integrity is crucial for maintaining cardiac position and function post-surgery.
Observation:
- A case of heart herniation with torsion through a dehiscent pericardial suture was noted post-pneumonectomy.
- Symptoms of shock developed on the second postoperative day, prompting investigation.
Findings:
- Chest X-ray confirmed the diagnosis, leading to rethoracotomy and successful heart repositioning.
- A second case presented an atypical cardiac contour bulge due to pericardial fat used to occlude a defect after partial pericardial resection.
Implications:
- Highlights the risk of pericardial suture dehiscence and subsequent heart herniation after pneumonectomy.
- Emphasizes the importance of meticulous pericardial closure and awareness of potential complications like fat herniation.