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Ann Thorac Surg 2004;78:1095-1097
© 2004 The Society of Thoracic Surgeons

Case report

Sudden cardiac herniation 6 months after right pneumonectomy

Friso T. Zandberg, MDa,b,*, Stephen J. M. E. Verbeke, MDa,b, Repke J. Snijder, MDa,b, Willem H. Dalinghaus, MDa,b, Simone M. Roeffel, MDa,b, Henry A. Van Swieten, MD, PhDa,b

a Departments of Pulmonology and Cardiothoracic Surgery, Heart Lung Center Utrecht, St. Antonius Hospital, Nieuwegein, The Netherlands
b Departments of Pulmonology and Cardiology, Meander Medical Center, Amersfoort, The Netherlands

Accepted for publication June 25, 2003.

* Address reprint requests to Dr Zandberg, St. Antonius Hospital, Koekoekslaan 1, 3435 CM, Nieuwegein, the Netherlands
kuilberg{at}planet.nl

Cardiac herniation is a rare complication of intrapericardial pneumonectomy and has a high mortality. The condition has been reported only within 24 hours after surgery. In this report, a case is described in which a total cardiac herniation took place 6 months after right intrapericardial pneumonectomy. The patient presented with an acute vena cava superior syndrome and underwent thoracotomy to reposition the heart into the pericardial sac and to close the pericardium with a patch.




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The postpneumonectomy syndrome: clinical presentation and treatment
Eur. J. Cardiothorac. Surg., February 1, 2009; 35(2): 319 - 324.
[Abstract] [Full Text] [PDF]


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