title: Inferior acute myocardial infarction due to acute cardiac herniation after right pneumonectomy.
abstract: A 69-year-old man underwent right intrapericardial pneumonectomy for lung cancer. After 24 h, he went into shock with inferior acute myocardial infarction. We performed urgent coronary angiography, which revealed total occlusion of the mid-right coronary artery. Intravascular ultrasound showed that the artery seemed to be compressed from the pericardial side. We implanted a coronary stent because the lesion was refractory to balloon dilatation. After the procedure, we performed computed tomography and cardiac herniation was diagnosed. Emergency thoracotomy was performed to return the herniated heart to its normal position. This patient was discharged 38 days after initial surgery.
authors.affiliation: Department of Medicine and Geriatrics, Kochi Medical School, Kohasu, Oko-cho, Nankoku, Kochi, Japan. teya@jewel.ocn.ne.jp
authors.forename: Yasunobu
authors.initials: Y
authors.lastname: Terauchi
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kitaoka
authors.forename: Katsutoshi
authors.initials: K
authors.lastname: Tanioka
authors.forename: Toru
authors.initials: T
authors.lastname: Kubo
authors.forename: Shunichi
authors.initials: S
authors.lastname: Imamura
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Baba
authors.forename: Yasumasa
authors.initials: Y
authors.lastname: Kawada
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Noguchi
authors.forename: Makoto
authors.initials: M
authors.lastname: Okawa
authors.forename: Naohito
authors.initials: N
authors.lastname: Yamasaki
authors.forename: Toshikazu
authors.initials: T
authors.lastname: Yabe
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Doi
mesh_terms: D000368:Aged; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000209:etiology* / Q000601:surgery; D006547:Hernia / Q000150:complications*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D010496:Pericardium / Q000601:surgery; D011013:Pneumonectomy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome