Zandberg Friso T, Verbeke Stephen J M E, Snijder Repke J, Dalinghaus Willem H, Roeffel Simone M, Van Swieten Henry A
Departments of Pulmonology and Cardiothoracic Surgery, Heart Lung Center Utrecht, St. Antonius Hospital, Nieuwegein, The, Netherlands.
Ann Thorac Surg. 2004 Sep;78(3):1095-7. doi: 10.1016/S0003-4975(03)01404-8.
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.
心脏疝是心包内肺切除术的一种罕见并发症，死亡率很高。这种情况仅在术后24小时内有过报道。在本报告中，描述了1例在右心包内肺切除术后6个月发生完全性心脏疝的病例。该患者出现急性上腔静脉综合征，接受了开胸手术，将心脏重新放回心包腔内，并用补片封闭心包。
