title: Lung hernia as a sequela to limited-access mitral valve surgery.
abstract: We report a case of a 36-year-old man who developed a lung hernia after a minimally invasive mitral valve repair. Lung hernias are uncommon. Most are acquired and may be classified as traumatic, spontaneous, pathologic, or postoperative. In theory, minimal-access surgical techniques should decrease the likelihood of herniation, in comparison with open thoracotomy. Our review of the literature revealed only 2 reports of this sequela in association with this surgical procedure. Repair was performed due to persistent symptoms, including pleurisy and dyspnea, and interference with the patient's daily activities. Surgical repair led to complete resolution of these problems.
authors.affiliation: Department of Medicine, Long Island Jewish Medical Center, Albert Einstein College of Medicine, New Hyde Park, New York 11040, USA.
authors.forename: Hossam
authors.initials: H
authors.lastname: Gouda
authors.forename: Alan S
authors.initials: AS
authors.lastname: Multz
authors.forename: Arfa
authors.initials: A
authors.lastname: Khan
authors.forename: Leonard J
authors.initials: LJ
authors.lastname: Rossoff
authors.forename: L Michael
authors.initials: LM
authors.lastname: Green
authors.forename: Daniel
authors.initials: D
authors.lastname: Graver
mesh_terms: D000328:Adult; D006547:Hernia / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects*; D008944:Mitral Valve Insufficiency / Q000150:complications* / Q000601:surgery*; D008945:Mitral Valve Prolapse / Q000150:complications* / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology; D013908:Thoracotomy / Q000009:adverse effects; D014057:Tomography, X-Ray Computed