Cardiac dislocation after extended pneumonectomy with pericardioplasty.
Two cases of cardiac dislocation occurred after intrapericardial right pneumonectomy with extended pericardiectomy and radical nodal dissection in spite of proper reconstruction with a pericardial fat flap in one case and with a Gore-tex prosthesis in the other. In the case of major pericardial excision resulting in extensive mobilisation of the SVC a complete reconstruction of pericardium and mediastinal pleura is recommended in order to prevent cardiac dislocation.
Veronesi
G
G
Thoracic Surgery Division, European Institute of Oncology, Via Ripamonti 435, 20141, Milan, Italy. giulia.veronesi@ieo.it
Spaggiari
L
L
Solli
P G
PG
Pastorino
U
U
D002289:Carcinoma, Non-Small-Cell Lung / Q000601:surgery*; D006331:Heart Diseases / Q000601:surgery*; D059685:Herniorrhaphy; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010491:Pericardial Window Techniques; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000601:surgery*; D019919:Prosthesis Implantation; D012086:Reoperation