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The Journal of Thoracic and Cardiovascular Surgery, Vol 78, 623-625, Copyright © 1979 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
BM Rodgers, PV Moulder and A DeLaney
Cardiac herniation is an uncommon but rapidly fatal complication of radical
pneumonectomy. Although operative correction is simple, a successful
clinical outcome requires early diagnosis and thoracotomy. A patient is
described in whom a left-sided cardiac herniation through a pericardial
defect occurred following radical pneumonectomy. The diagnosis was
suspected by persistent hypotension and radiographic changes. Confirmation
of the diagnosis was achieved by thoracoscopy, performed with local
anesthesia in the operating room. Immediate thoracotomy resulted in a
successful outcome.
ARTICLES
Thoracoscopy: new method of early diagnosis of cardiac herniation
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