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Ann Thorac Surg 1993;55:756-757
© 1993 The Society of Thoracic Surgeons


Articles

Delayed myocardial laceration after intrapericardial pneumonectomy

Blake C. Papsin, MD, Lyall A. Gorenstein, MD, Melvyn Goldberg, MD*

Division of Thoracic Surgery, Mount Sinai Hospital, Toronto, Ontario, Canada

Accepted for publication May 7, 1992.

* Address reprint requests to Dr Goldberg, Division of Thoracic Surgery, Mount Sinai Hospital, 600 University Ave, Suite 643, Toronto, Ont, Canada M5G 1X5.

Curative resection for large central bronchogenic tumors may require radical or intrapericardial pneumonectomy. Myocardial herniation through the pericardial defect is a rare early postoperative complication. Prevention of cardiac herniation and subsequent hemodynamic compromise is always necessary after intrapericardial pneumonectomy.




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Pericardial closure using fascia lata in patients undergoing pneumonectomy with pericardiectomy
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