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  • Title: Acute postoperative cardiac herniation.
    Author: Kawamukai K, Antonacci F, Di Saverio S, Boaron M.
    Journal: Interact Cardiovasc Thorac Surg; 2011 Jan; 12(1):73-4. PubMed ID: 20940166.
    Abstract:
    Acute herniation of the heart is an uncommon complication in patients undergoing pneumonectomy with associated pericardial resection. We report the case of a postoperative cardiac herniation after a right extrapleural pneumonectomy following neoadjuvant chemotherapy for malignant pleural mesothelioma. After surgery the patient was completely asymptomatic, but a postoperative chest X-ray revealed unexpected massive dextrocardia. The patient was immediately brought back to the operating room: a cardiac herniation was found to be caused by a partial dehiscence of the pericardial prosthesis suture. The defect was repaired without consequences.
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