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  • Title: Cardiac herniation after operative management of lung cancer: a rare and dangerous complication.
    Author: Ponten JE, Elenbaas TW, ter Woorst JF, Korsten EH, van den Borne BE, van Straten AH.
    Journal: Gen Thorac Cardiovasc Surg; 2012 Oct; 60(10):668-72. PubMed ID: 22627961.
    Abstract:
    Cardiac herniation after pneumonectomy is recognized as a rare complication. This case report describes two cases. The mortality rate of this complication remains high as reported in the literature; in early-recognized cases 50 % and in late or unrecognized cases 100 %. In the following two cases a pneumonectomy was performed as a treatment for lung cancer. Within 48 h after the initial operative treatment, the clinical situation of the patients got worse and radiographic examinations showed a strongly deviated heart. After suspicion of the diagnosis, the patients were immediately transferred to the operation theatre for emergency thoracotomy. Per-operative the diagnosis was confirmed and the heart was returned into its original position while the defect in the pericardial sac was closed with a bovine pericardial patch. Both patients survived these procedures and did not suffer from any further complication.
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