TY - JOUR
T1 - Life-threatening hemothorax resulting from lung hernia after minimally invasive mitral valve surgery.
AU - Schroeter, T.
AU - Bittner, H.
AU - Subramanian, S.
AU - Hänsig, M.
AU - Mohr, F.
AU - Borger, M.
PY - 2011/6
Y1 - 2011/6
N2 - Lung hernia following minimally invasive mitral valve surgery is an uncommen entity. We report the case of a male patient who developed a lung hernia as a sequela to limited access mitral valve surgery. Two months after discharge, the patient presented with a bulge in the region of the lateral thoracotomy related to respiration which could be provoked by a Valsalva maneuver. In the night following admission the patient had acute cardiovascular decompensation with worsening dyspnea, pallor and hypotension. The patient was quickly transferred to the ICU, where a chest X-ray revealed the presence of a large hemothorax with compression of the entire right lung. We transferred the patient to the operation room, evacuated the hemothorax and reconstructed the 15-cm long and 3-cm wide dehiscence using a GoreTex patch adapted in a special technique.
AB - Lung hernia following minimally invasive mitral valve surgery is an uncommen entity. We report the case of a male patient who developed a lung hernia as a sequela to limited access mitral valve surgery. Two months after discharge, the patient presented with a bulge in the region of the lateral thoracotomy related to respiration which could be provoked by a Valsalva maneuver. In the night following admission the patient had acute cardiovascular decompensation with worsening dyspnea, pallor and hypotension. The patient was quickly transferred to the ICU, where a chest X-ray revealed the presence of a large hemothorax with compression of the entire right lung. We transferred the patient to the operation room, evacuated the hemothorax and reconstructed the 15-cm long and 3-cm wide dehiscence using a GoreTex patch adapted in a special technique.
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U2 - 10.1055/s-0030-1250670
DO - 10.1055/s-0030-1250670
M3 - Article
C2 - 21425058
AN - SCOPUS:80052893502
VL - 59
SP - 252
EP - 254
JO - Thoraxchirurgie und vaskulare Chirurgie
JF - Thoraxchirurgie und vaskulare Chirurgie
SN - 0171-6425
IS - 4
ER -