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Eur J Cardiothorac Surg 2001;19:89-91
© 2001 Elsevier Science NL

Case report

Cardiac dislocation after extended pneumonectomy with pericardioplasty

G. Veronesi, L. Spaggiari, P.G. Solli, U. Pastorino

Thoracic Surgery Division, European Institute of Oncology, Via Ripamonti 435, 20141 Milan, Italy

Received 14 April 2000; received in revised form 28 September 2000; accepted 27 October 2000.

Corresponding author. Tel.: +39-2-5748-9665; fax: +39-2-5748-9698
e-mail: giulia.veronesi{at}ieo.it

Two cases of cardiac dislocation occurred after intrapericardial right pneumonectomy with extended pericardiectomy and radical nodal dissection in spite of proper reconstruction with a pericardial fat flap in one case and with a Gore-tex® prosthesis in the other. In the case of major pericardial excision resulting in extensive mobilisation of the SVC a complete reconstruction of pericardium and mediastinal pleura is recommended in order to prevent cardiac dislocation.

Key Words: Pneumonectomy/adverse effects • Heart disease etiology • Hernia surgery • Pericardial flap • Pericardium surgery




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Copyright © 2001 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.