Nishiuchi S, Okazaki T, Shinkai M, Fuziwara H, Nasu M, Shomura T
Department of Thoracic Surgery, Kobe City General Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1996 Jan;44(1):63-8.
A case of cardiac herniation following left intrapericardial pneumonectomy after induction chemoradiotherapy has been presented. Curative resection after induction chemoradiotherapy for central bronchogenic cancer may require intrapericardial pneumonectomy. Cardiac herniation through the pericardial defect is a fatal complication after a pneumonectomy unless pericardial repair should be done immediately. Closure of the pericardial defect with prosthetic patch, regardless of defect size, is always necessary for the prevention of the cardiac herniation following intrapericardial pneumonectomy after induction chemoradiotherapy.
本文报告了1例诱导放化疗后左心包内肺切除术后发生心脏疝的病例。诱导放化疗后对中央型支气管源性癌进行根治性切除可能需要心包内肺切除术。除非立即进行心包修复，否则经心包缺损的心脏疝是肺切除术后的致命并发症。无论缺损大小，使用人工补片封闭心包缺损对于预防诱导放化疗后心包内肺切除术后的心脏疝总是必要的。
