Cardiac herniation through mediastinotomy incision

J Clin Anesth. 2008 May;20(3):222-4. doi: 10.1016/j.jclinane.2007.09.019.

Abstract

A 43-year-old man was admitted to the emergency department after a cardiac arrest of unknown etiology. The patient's medical history was unremarkable except for surgery to remove a mediastinal lipoma two years earlier. In the intensive care unit, he was observed to have a mass bulging from the left chest wall. Echocardiography showed cardiac herniation through the chest wall, which was confirmed by thoracic computed tomographic scan.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Electric Countershock
  • Electroencephalography
  • Glasgow Coma Scale
  • Heart Arrest
  • Heart Diseases / diagnostic imaging
  • Heart Diseases / etiology
  • Heart Diseases / surgery*
  • Heart Valve Prolapse / physiopathology
  • Hernia / diagnostic imaging
  • Hernia / etiology
  • Herniorrhaphy*
  • Humans
  • Intercostal Muscles / surgery*
  • Lipoma / surgery
  • Male
  • Mediastinal Neoplasms / surgery
  • Postoperative Complications / surgery*
  • Tachycardia, Ventricular / complications
  • Tachycardia, Ventricular / therapy
  • Tomography, X-Ray Computed
  • Ultrasonography