Chulalongkorn Medical Journal


This is a case report of cardiac herniation following right lower lobe lobectomy in anon-small-cell lung cancer patient who previously underwent right upper lobe and right middlelobe lobectomies. The patient presented with obstructive shock with refractory hypoxemia atthe 8th hour after the lobectomy with radical removal of the tumor and complicated lungabscess via intrapericardial approach. Chest radiography showed cardiac displacement tothe right hemithorax. Cardiac herniation was diagnosed. Consequently, emergencyrethoracotomy was performed to explore the cause of this complication and reduce the heartto the normal position. A large pericardial defect was found and subsequently closed bypericardial patch.

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