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Post-Pleuropneumonectomy Herniation of Liver Mimicking Major Pulmonary Embolism

Department of Cardiothoracic Surgery, Völklingen Heart Centre, Völklingen, Germany
¹ Department of Anesthesiology and Critical Care Medicine, University of the Saarland, Homburg, Germany

For reprint information contact: Hanno Huwer, MD Tel: 49 68 9812 2424 Fax: 49 68 9812 2258 Email: huwer.vk{at}shg-kliniken.de, Department of Cardiothoracic Surgery, Völklingen Heart Centre, D-66333 Völklingen/Saar, Germany.

Following right-sided pneumonectomy and hemidiaphragm resection in a 58-year-old man with epithelioid mesothelioma, acute respiratory insufficiency and life-threatening circulatory collapse developed after a forced Valsalva maneuver. Major pulmonary embolism was diagnosed on clinical grounds, however computed tomography revealed herniation of the liver into the right hemithorax.

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