Heart failure following left-sided pneumonectomy in a patient with known pectus excavatum -- successful treatment using the Ravitch procedure.
A rare case of a patient with progressive dyspnoea due to atrial compression between ascending and descending aorta is demonstrated. After neoadjuvant chemoradiation for a locally advanced nonsmall cell lung cancer stage IIIb, he had a left-sided pneumonectomy. The underlying problem for cardiac compression was the extreme mediastinal shift reinforced by a congenital pectus excavatum. Our treatment was a Ravitch procedure with fair result.
Ruhrlandklinik Essen, Department of Thoracic Surgery, Tüschener Weg 40, G-45239 Essen, Germany. Stefan.We@t-online.de
Stefan
S
Welter
Marc
M
Hinterthaner
Georgios
G
Stamatis
D002289:Carcinoma, Non-Small-Cell Lung / Q000601:surgery; D005660:Funnel Chest / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed