Cardiac herniation through mediastinotomy incision.
A 43-year-old man was admitted to the emergency department after a cardiac arrest of unknown etiology. The patient's medical history was unremarkable except for surgery to remove a mediastinal lipoma two years earlier. In the intensive care unit, he was observed to have a mass bulging from the left chest wall. Echocardiography showed cardiac herniation through the chest wall, which was confirmed by thoracic computed tomographic scan.
Pingle
Anjali
A
Department of Anaesthesia and Intensive Care, The Mid Yorkshire Hospitals, Dewsbury WF13 4HS, UK.
Ismail
Khaled M
KM
Eshra
Abdelwahab
A
Maarouf
Amr
A
D000328:Adult; D004554:Electric Countershock; D004569:Electroencephalography; D015600:Glasgow Coma Scale; D006323:Heart Arrest; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D016127:Heart Valve Prolapse / Q000503:physiopathology; D006547:Hernia / Q000000981:diagnostic imaging / Q000209:etiology; D059685:Herniorrhaphy; D006801:Humans; D007366:Intercostal Muscles / Q000601:surgery*; D008067:Lipoma / Q000601:surgery; D008297:Male; D008479:Mediastinal Neoplasms / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery*; D017180:Tachycardia, Ventricular / Q000150:complications / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography