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胸膜外全肺切除术后心脏疝

Cardiac herniation after extrapleural pneumonectomy.

作者信息

Nishizawa Natsumasa, Osaki Toshihiro, Fukuichi Yukiko, Yasuda Manabu

机构信息

Department of Chest Surgery, Iizuka Hospital, Iizuka, Fukuoka, Japan.

出版信息

J Surg Case Rep. 2020 Feb 21;2020(2):rjaa011. doi: 10.1093/jscr/rjaa011. eCollection 2020 Feb.

DOI:10.1093/jscr/rjaa011
PMID:32104562
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7033482/
Abstract

Cardiac herniation is a fatal complication in patients undergoing pneumonectomy with pericardial resection. A 53-year-old man underwent right-sided extrapleural pneumonectomy for malignant pleural mesothelioma. He underwent right-sided pericardial resection and reconstruction with an expanded polytetrafluoroethylene sheet. Routine chest radiography performed 18 h postoperatively revealed cardiac herniation into the right-sided thoracic cavity. The patient was immediately transferred to the operating room, and the defect was repaired. He died of tumor progression. However, cardiac herniation did not recur over 2 years postoperatively.

摘要

心脏疝是接受肺切除术并心包切除患者的一种致命并发症。一名53岁男性因恶性胸膜间皮瘤接受了右侧胸膜外肺切除术。他接受了右侧心包切除并用膨体聚四氟乙烯片进行重建。术后18小时进行的常规胸部X线检查显示心脏疝入右侧胸腔。患者立即被转至手术室，缺损得以修复。他死于肿瘤进展。然而，术后2年心脏疝未复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc69/7033482/701ed4457000/rjaa011f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc69/7033482/46dc0a7ebb42/rjaa011f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc69/7033482/701ed4457000/rjaa011f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc69/7033482/46dc0a7ebb42/rjaa011f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc69/7033482/701ed4457000/rjaa011f2.jpg

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本文引用的文献

1
Case report of cardiac herniation after sleeve pneumonectomy with superior vena cava reconstruction.袖状肺叶切除并上腔静脉重建术后心脏疝的病例报告
Gen Thorac Cardiovasc Surg. 2019 Jul;67(7):644-649. doi: 10.1007/s11748-018-1008-9. Epub 2018 Sep 8.
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Herniation of the Heart : Through a Pericardial Incision.心脏疝：经心包切开处
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