Huda Noor Ul, Ali Sadia, Khan Ahsun, Ur Rehman Saad, Faisal Muhammad
Anesthesiology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, PAK.
Anesthesiology and Critical Care, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, PAK.
Cureus. 2025 Aug 17;17(8):e90288. doi: 10.7759/cureus.90288. eCollection 2025 Aug.
Cardiac herniation is an uncommon complication of pneumonectomy. It usually occurs when a defect is made in the pericardium during the surgical resection of the lung. It is a life-threatening complication; even after surgical correction, morbidity and mortality rates remain high. We present a case of right-sided cardiac herniation after extrapleural pneumonectomy. This case report describes the difficulty in diagnosing and managing this rare complication. It discusses the causes and pathophysiology of cardiac herniation. We have described the clinical presentation and tools to diagnose such cases. In this case report, we have discussed the available treatment options and measures to prevent this complication. In any patient who acutely deteriorates post-pneumonectomy, cardiac herniation must be considered as one of the differential diagnoses.
心脏疝是肺切除术后一种罕见的并发症。它通常发生在肺手术切除过程中心包出现缺损时。这是一种危及生命的并发症；即使经过手术矫正，发病率和死亡率仍然很高。我们报告一例胸膜外肺切除术后右侧心脏疝的病例。本病例报告描述了诊断和处理这种罕见并发症的困难。它讨论了心脏疝的病因和病理生理学。我们描述了此类病例的临床表现和诊断工具。在本病例报告中，我们讨论了可用的治疗选择和预防这种并发症的措施。在任何肺切除术后急性恶化的患者中，心脏疝都必须被视为鉴别诊断之一。
