title: Life-threatening hemothorax resulting from lung hernia after minimally invasive mitral valve surgery.
abstract: Lung hernia following minimally invasive mitral valve surgery is an uncommen entity. We report the case of a male patient who developed a lung hernia as a sequela to limited access mitral valve surgery. Two months after discharge, the patient presented with a bulge in the region of the lateral thoracotomy related to respiration which could be provoked by a Valsalva maneuver. In the night following admission the patient had acute cardiovascular decompensation with worsening dyspnea, pallor and hypotension. The patient was quickly transferred to the ICU, where a chest X-ray revealed the presence of a large hemothorax with compression of the entire right lung. We transferred the patient to the operation room, evacuated the hemothorax and reconstructed the 15-cm long and 3-cm wide dehiscence using a GoreTex patch adapted in a special technique.
authors.affiliation: Department of Cardiac Surgery, Heart Center Leipzig, Leipzig, Germany. thomas-schroeter@gmx.de
authors.forename: T
authors.initials: T
authors.lastname: Schroeter
authors.forename: H
authors.initials: H
authors.lastname: Bittner
authors.forename: S
authors.initials: S
authors.lastname: Subramanian
authors.forename: M
authors.initials: M
authors.lastname: Hänsig
authors.forename: F
authors.initials: F
authors.lastname: Mohr
authors.forename: M
authors.initials: M
authors.lastname: Borger
mesh_terms: D000328:Adult; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D006491:Hemothorax / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006547:Hernia / Q000000981:diagnostic imaging / Q000209:etiology*; D059685:Herniorrhaphy; D006801:Humans; D008171:Lung Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D011859:Radiography; D012086:Reoperation; D013908:Thoracotomy / Q000009:adverse effects*; D016896:Treatment Outcome