Interactive cardiovascular and thoracic surgery · 2006
Cardiac herniation following closure of atrial septal defect through limited posterior thoracotomy.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
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Sasidharan Baiju, Moideen Ijaz, Warrier Girish, Prabhu Anil, Koshy Sajan, Nair Suresh Gangadharan, Gururaja Rao Suresh, Shivaprakasha Krishnanaik
Аннотация
OBJECTIVES: We report an unusual complication following closure of atrial septal defect through right limited posterior thoracotomy.
METHODS: An eight-year-old girl underwent closure of atrial septal defect through right limited posterior thoracotomy. She developed cardiac herniation in the early post-operative period following a tension pneumothorax on the left side, while recovering in the intensive care unit.
RESULTS: Cardiac herniation was promptly recognized, albeit subtle hemodynamic changes, and was reduced through re-operation.
CONCLUSION: Liberal use of pericardium for closure of intra-cardiac defects results in a gap in the pericardial sac. Posterior thoracotomy approach for closure of atrial septal defect has a higher propensity for cardiac herniation owing to the small size and postero-lateral location of the pericardial defect. Recognition and early treatment of cardiac herniation is important since it can mimic cardiac tamponade. Cardiac herniation can be avoided either by enlarging the pericardial defect or by closing it with a prosthetic patch.
METHODS: An eight-year-old girl underwent closure of atrial septal defect through right limited posterior thoracotomy. She developed cardiac herniation in the early post-operative period following a tension pneumothorax on the left side, while recovering in the intensive care unit.
RESULTS: Cardiac herniation was promptly recognized, albeit subtle hemodynamic changes, and was reduced through re-operation.
CONCLUSION: Liberal use of pericardium for closure of intra-cardiac defects results in a gap in the pericardial sac. Posterior thoracotomy approach for closure of atrial septal defect has a higher propensity for cardiac herniation owing to the small size and postero-lateral location of the pericardial defect. Recognition and early treatment of cardiac herniation is important since it can mimic cardiac tamponade. Cardiac herniation can be avoided either by enlarging the pericardial defect or by closing it with a prosthetic patch.