Cardiac herniation with torsion after right pneumonectomy
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This presentation illustrates the case of a woman in her forties with right-sided lung cancer nonsmall cell lung cancer International Union Against Cancer stage III A (pT4, pN0, cM0). For preoperative screening, a positron emission tomography/computed tomography was performed. Subsequently, she was suspected to be rather in stage N2. Consequently, she underwent transpericardial pneumonectomy. After an uneventful surgery, the patient was transferred to the intensive care unit for postoperative monitoring. She was hemodynamically stable and had already been extubated in the operating room.On postoperative chest X-ray, a mediastinal shift to the operated side as well as a herniation of the heart into the right chest cavity was seen. While the patient remained hemodynamically stable a computed tomography of the chest was performed which confirmed the diagnosis of cardiac herniation and torsion...

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