Strangulation of the heart following intrapericardial pneumonectomy

Strangulation of the heart following intrapericardial pneumonectomy.

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...

Herniation of the heart after intrapericardial pneumonectomy for bronchial carcinoma.

Since the pioneer work of Graham and Singer (1933), Rienhoff (1933), and Crafoord (1938), great improvements have been made in the surgical technique for resection of bronchial carcinoma. Of major importance was the introduction by Allison (1946) of intrapericardial ligation of the pulmonary vessels. Besides inherent advantages due to the intrapericardial disposition of these vessels and conseq...

Cardiac herniation following intrapericardial pneumonectomy with partial pericardiectomy for advanced lung cancer.

We present in this paper a case of cardiac herniation following right intrapericardial pneumonectomy after induction chemotherapy. A 52-year-old man with advanced squamous cell carcinoma of the lung was admitted to our hospital suffering from a dry cough and chest pain. An intrapericardial pneumonectomy with partial pericardiectomy (4 x 4 cm) was performed. The pericardial defect was left open....

Respiratory distress following pneumonectomy.

A 60-year-old man was referred to the thoracic surgery service with a large mass in the right upper lobe of his lung. He had a 4-week history of productive cough and hemoptysis. A chest radiograph was obtained after antibiotic therapy failed to resolve the symptoms. He had no history of weight loss, fevers, or chest pain. He had smoked until 2 years prior and had an 80 pack-year history of ciga...