Cardiac torsion following intrapericardial pneumonectomy

Patel, Dhiraj R.; Shrivastav, Raj; Sabety, Adrian M.

doi:10.1016/s0022-5223(19)40746-0

Cited by 30 publications

(5 citation statements)

References 6 publications

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“…Cardiac surgery in patients with dextrocardia is rare. 1–6 Published cases have involved either coronary artery bypass grafting or mitral valve replacement. 4–8 Mitral valve replacement in patients with dextrocardia has been approached via sternotomy or thoracotomy.…”

Section: Discussionmentioning

confidence: 99%

“…In these patients, the heart is typically displaced rightward and posteriorly such that it may abut the posterolateral chest wall. 1–3 Dextrocardia may be further classified as dextroposition or dextroversion. Cardiac dextroposition refers to the presence of the heart in the right hemithorax with normal alignment of the major axis of the heart.…”

Section: Introductionmentioning

confidence: 99%

“…However, in dextroversion, the cardiac apex is to the right of midline and the major axis of the heart is aligned from the left shoulder toward the right hip. 1–5 There are few reports describing cardiac surgery in patients with acquired dextrocardia, and published cases have typically involved valve replacement. 4,5 In this report, we describe a case of successful mitral valve repair in a patient with acquired dextrocardia.…”

Section: Introductionmentioning

confidence: 99%

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Mitral valve repair in acquired dextrocardia

Elmistekawy

Chan

Hynes

et al. 2014

Asian Cardiovasc Thorac Ann

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mitral valve repair in acquired dextrocardia

Elmistekawy

Chan

Hynes

et al. 2014

Asian Cardiovasc Thorac Ann

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“…Cardiac luxation is the term used for cardiac herniation and volvulus, which can result in superior vena cava obstruction or right heart strain (52). It is the most serious complication of pericardial rupture, occurring in 28% of cases (54)(55)(56), and in the setting of trauma has a mortality rate as high as 67%. While reported cases are rare, the true prevalence is likely higher, since a large proportion of patients do not reach the hospital alive.…”

Section: Pericardial Injurymentioning

confidence: 99%

Role of Imaging in Penetrating and Blunt Traumatic Injury to the Heart

Co¹,

Yong-Hing²,

Galea-Soler³

et al. 2011

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Cardiac injury due to blunt or penetrating chest trauma is common and is associated with significant morbidity and mortality. Understanding the mechanisms, types, and complications of cardiac injuries and the roles of various imaging modalities in characterizing them is important for appropriate diagnosis and treatment. These injuries have not been well documented at imaging, but there are now fast and accurate methods for evaluating the heart and associated mediastinal structures. The authors review the broad spectrum of injuries that can result from blunt or penetrating trauma to the chest, as well as the imaging modalities commonly used in the acute trauma setting for evaluation of the heart and mediastinal structures. A pictorial review of both common and, to date, rarely documented cardiac injuries imaged with a variety of modalities is also presented. While many imaging modalities are available, the authors demonstrate the value of multidetector computed tomography (CT) for the initial evaluation of patients with blunt or penetrating chest trauma. With the advent of multidetector CT, imaging of cardiac injury has increased and accurate identification of these rare but potentially lethal injuries has become paramount for improving survival. Selection of the most appropriate modality for evaluation and recognition of the imaging findings in cardiac injuries in the acute trauma setting is important to expedite treatment and improve survival.

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“…However, sometimes extended pericardial resection is necessary for direct invasion of the tumor, thus producing large defects with the risk of later cardiac herniation. This seems to be a rather rare complication but it has a high mortality (2,3,4,6,7). In 1974 Deiraniya (2) collected a series of 22 cases from the literature, adding 3 observations of his own.…”

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confidence: 99%

Right-to-Left Atrial Shunt in Cardiac Dislocation Following Extensive Pneumonectomy

Hasse¹,

Perruchoud²,

Wolff³

et al. 1979

Thorac cardiovasc Surg

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Previous reports dealing with cardiac herniation following intrapericardial pneumonectomy illustrate the critical and often lethal hemodynamic sequelae of this complication. In the case presented here, the first and nearly exclusive sign of cardiac herniation after left-sided pneumonectomy with extensive resection of the pericardium was systemic arterial hypoxemia. Subsequent investigations suggested inter-atrial right-to-left shunt in the presence of a patent foramen ovale, caused by slight right-ventricular outflow obstruction with consecutively reversed pressure relationships at atrial level. This explanation was supported by the operative findings, and reversibility was achieved by pericardial reconstruction with parietal pleura. When the patient died 8 months later due to general progression of a mucoepidermoid carcinoma, autopsy confirmed a large patent foramen ovale.

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Cardiac torsion following intrapericardial pneumonectomy

Cited by 30 publications

References 6 publications

Mitral valve repair in acquired dextrocardia

Mitral valve repair in acquired dextrocardia

Role of Imaging in Penetrating and Blunt Traumatic Injury to the Heart

Right-to-Left Atrial Shunt in Cardiac Dislocation Following Extensive Pneumonectomy

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