title: Cardiac herniation after intrapericardial pneumonectomy and subsequent cardiac tamponade.
abstract: The first case of postpneumonectomy cardiac herniation was described in 1948. Despite advances in surgical technique and patient care, this very rare, potential surgical catastrophe may still be seen today. We present a similar case to that of the original description, but furthermore accentuated by an additional unsuspected surgical complication. This case involves a 59-year-old African-American man initially treated with radical pneumonectomy to resect an invasive T3 squamous cell lung cancer. After surgical resection, the patient developed both clinical and radiographic manifestations of cardiac herniation. Primary suture repair of the pericardial sac led to subsequent cardiac tamponade necessitating correction with Prolene mesh.
authors.affiliation: Division of Cardiothoracic Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia 23298-0068, USA. xz3v@virginia.edu
authors.forename: Jon
authors.initials: J
authors.lastname: Kiev
authors.forename: Mark
authors.initials: M
authors.lastname: Parker
authors.forename: Xian
authors.initials: X
authors.lastname: Zhao
authors.forename: Vigneshwar
authors.initials: V
authors.lastname: Kasirajan
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000601:surgery; D002305:Cardiac Tamponade / Q000209:etiology* / Q000601:surgery; D006335:Heart Injuries / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects*; D013526:Surgical Mesh; D013536:Suture Techniques