Left ventricular aneurysm with herniation through the chest wall.
Cardiac herniation is a rare event associated with a high mortality rate. It is typically seen with blunt trauma to the chest or after a pneumectomy. Signs and symptoms include arrhythmia, myocardial ischemia, and hypotension. Diagnostic modalities, such as computed tomography scan, chest roentgenogram, magnetic resonance imaging, and transthoracic and transesophageal echocardiography, are key to diagnosis. Successful management requires timely recognition along with prompt surgical intervention.
Ed Dardanell Heart and Vascular Center, Forbes Regional Hospital, Monroeville, Pennsylvania, USA. esvensso@wpahs.org
Erik
E
Svensson
Michael H
MH
Culig
Robert J
RJ
Keenan
Tae
T
Song
Robert
R
Biederman
D006328:Cardiac Catheterization / Q000379:methods*; D006348:Cardiac Surgical Procedures / Q000379:methods; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000379:methods; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000601:surgery; D003952:Diagnostic Imaging / Q000379:methods; D015150:Echocardiography, Doppler / Q000379:methods; D005500:Follow-Up Studies; D006322:Heart Aneurysm / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006352:Heart Ventricles / Q000601:surgery; D006547:Hernia / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D035583:Rare Diseases; D018570:Risk Assessment; D013896:Thoracic Diseases / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D035441:Thoracic Wall / Q000601:surgery*; D013908:Thoracotomy / Q000009:adverse effects* / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods