Unexpected Postoperative Course After Right Pneumonectomy

Postoperative Care and Complications After Thoracic Surgery

“…Cardiovascular collapse is the presenting feature Jugular pulse is elevated and there can be cyanosis in the drainage area of superior venacava. Ventricular fibrillation may occur [63]. Treatment is emergency thoracotomy with reposition of the herniated heart into the pericardial sac and repairing the defect of the pericardium [64].…”

Cardiac Arrest following Pneumonectomy

“…The signs and symptoms are related to the side of herniation. In the case of herniation to the right side there is obstruction of both the superior vena cava and inferior vena cava by kinking or torsion [5] . This leads to symptoms of impaired venous backflow as seen in the superior vena cava syndrome (distended veins in neck and upper torso) [6] and to a rapid decrease in venous return and cardiac filling with a dramatic fall in cardiac output and blood pressure [7] .…”

Cardiac Herniation and Volvulus with Acquired Dextrocardia: Echocardiographic Diagnosis

“…Cardiac herniation can occur after blunt trauma to chest 3 or postoperatively. [4][5][6] Cardiac herniation after surgery for lung cancer involving pericardiotomy or pericardiectomy was first reported in 1948 by Bettman. With increasing preference for limited lung resection and less frequent surgery for advanced disease, cardiac herniation is rarer now.…”

“…ECHO -Right subcostal long axis view, transducer at right midclavicular line with index of transducer toward patient's left foot(4 …”