Cardiac herniation after extrapleural pneumonectomy

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[Liver herniation after extrapleural pneumonectomy due to a mesothelioma].

The patient is a 66-year-old woman who had undergone a right extrapleural pneumonectomy 2 years earlier for pleural mesothelioma (stage II) and had received adjuvant chemoand radiotherapy. During the procedure, a Gore-Tex patch was used to reconstruct the diaphragm. Six months after surgery, a follow-up MRI was ordered due to high transaminase levels, and herniation of the liver into the thorax...

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For preoperative screening, a positron emission tomography/ computed tomography was performed. Subsequently, she was suspected to be rather in stage N2. Consequently, she underwent transpericardial pneumonectomy. After an uneventful surgery, the patient was transferred to the intensive care unit for postoperative monitoring. She was hemodynamically stable and had already been extubated in the o...

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Cardiac herniation following intrapericardial pneumonectomy.

Cardiac herniation is a rare, highly lethal complication of intrapericardial pneumonectomy, demanding urgent treatment. The condition presents in the immediate or early postoperative period. Cardiovascular collapse is invariably present. Elevation of the jugular venous pressure and cyanosis in the drainage area of the superior vena cava are frequently noted. Diagnosis rests on an awareness of t...

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Acute Tension Pneumothorax Following Cardiac Herniation after Pneumonectomy

A tension pneumothorax is one of the main causes of cardiac arrest in the initial postoperative period after thoracic surgery. Tension pneumothorax and cardiac herniation must be taken into account in hemodynamically unstable patients after pneumonectomy. We report an unusual case of successful treatment of acute tension pneumothorax following cardiac herniation and intrathoracic bleeding after...

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Video-atlas of extrapleural pneumonectomy.

This is a step-by-step video demonstration of a left extrapleural pneumonectomy for malignant pleural mesothelioma, including thoracotomy incision, extrapleural mobilization of tumor, resection of diaphragm, mediastinal nodal dissection and division of hilar vessels followed by reconstruction of diaphragm and closure of the thoracotomy.

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ژورنال

عنوان ژورنال: Journal of Surgical Case Reports

سال: 2020

ISSN: 2042-8812

DOI: 10.1093/jscr/rjaa011