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Asian Cardiovasc Thorac Ann 2006;14:e60-e62
© 2006 Asia Publishing EXchange Ltd

CASE STUDIES

Post-Pleuropneumonectomy Herniation of Liver Mimicking Major Pulmonary Embolism

Hanno Huwer, MD, Johannes Winning, MD1, Helmut Isringhaus, MD, Gerhard Kalweit, MD

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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C. Aigner, G. Lang, S. Taghavi, M. A. Reza-Hoda, G. Marta, H. Baumgartner, and W. Klepetko
Haemodynamic complications after pneumonectomy: atrial inflow obstruction and reopening of the foramen ovale
Eur. J. Cardiothorac. Surg., February 1, 2008; 33(2): 268 - 271.
[Abstract] [Full Text] [PDF]


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