Cardiac herniation: A practical review in the emergency setting

Scagliola, Riccardo; Seitun, Sara; Rosa, Gian Marco

doi:10.1016/j.ajem.2022.01.017

Cited by 4 publications

(20 citation statements)

References 73 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The pathophysiology of cardiac herniation involves a series of complex mechanisms leading to the abnormal protrusion of the heart through the pericardial sac. This condition can be congenital or acquired, with development influenced by genetic, environmental, and traumatic factors [ 1 , 2 , 6 ]. In congenital cases, anomalies during embryonic pericardial development may predispose to cardiac herniation formation, while acquired hernias typically arise from trauma or previous thoracic surgeries [ 1 , 2 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…This condition can be congenital or acquired, with development influenced by genetic, environmental, and traumatic factors [ 1 , 2 , 6 ]. In congenital cases, anomalies during embryonic pericardial development may predispose to cardiac herniation formation, while acquired hernias typically arise from trauma or previous thoracic surgeries [ 1 , 2 , 6 ]. Regardless of etiology, the underlying pathophysiological process involves an imbalance in the forces acting on the heart and neighboring structures.…”

Section: Discussionmentioning

confidence: 99%

“…The cardiac herniation through the pericardium is a rare but potentially serious condition [ 1 ]. It is associated with congenital defects and, to a greater extent, trauma and transpericardial procedures [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…It is usually observed within the first 24 hours following a procedure, with few cases exceeding this time threshold. It is a potentially life-threatening condition that requires timely intervention to ensure the survival of the affected individual [ 1 - 5 ]. Here, we present a particular case of a patient with cardiac herniation that persists for a markedly longer period than described in the literature, associated with a latent symptomatology whose approach through clinical and imaging studies allowed for an appropriate outcome.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Chronic Cardiac Herniation: A Peculiar Diagnosis

Ayala Torres,

Gómez Salazar,

Vélez Zuluaga

2024

Cureus

View full text Add to dashboard Cite

The presented case describes a 56-year-old male with adult-onset Still's disease, exhibiting polyserositis in 2019, who underwent pleurectomy and pericardiectomy. Despite treatment with tocilizumab and methylprednisolone, the patient developed deep vein thrombosis and pulmonary embolism in 2022, managed with apixaban. A contrast-enhanced chest tomography revealed no recurrent thromboembolic events. Over a year, the patient experienced progressive dyspnea, correlating with signs of constriction on transthoracic echocardiogram. Cardiac magnetic resonance imaging confirmed cardiac herniation, prompting pericardiectomy. Surgery led to complete resolution of anatomical alterations without heart failure or new abnormalities, although exertional dyspnea persists post-discharge. The pathophysiology of cardiac herniation involves complex mechanisms influenced by congenital or acquired factors, resulting in abnormal heart protrusion. Medical literature highlights varied presentations, with acute cases typically post-thoracic surgeries, while late-onset cases are less common. Imaging modalities like computed tomography (CT) and cardiac magnetic resonance (CMR) aid diagnosis, emphasizing interdisciplinary collaboration. Despite challenges posed by its rarity, timely diagnosis and treatment are crucial for favourable outcomes, demonstrating the importance of considering this entity in clinical practice.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Chronic Cardiac Herniation: A Peculiar Diagnosis

Ayala Torres,

Gómez Salazar,

Vélez Zuluaga

2024

Cureus

View full text Add to dashboard Cite

show abstract

“…Cardiac herniation is a very rare complication mainly encountered after cancer thoracic surgery with a high mortality rate (50–100%) ( 112 ). Though it was first reported in medical literature in 1948 after a pneumonectomy of the left lung for a carcinoma ( 113 ), this disease remains largely unknown ( 114 ).…”

Section: Epidemiologymentioning

confidence: 99%

Cardiogenic shock among cancer patients

Curtiaud

Delmas

Gantzer

et al. 2022

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

Sophisticated cancer treatments, cardiovascular risk factors, and aging trigger acute cardiovascular diseases in an increasing number of cancer patients. Among acute cardiovascular diseases, cancer treatment, as well as the cancer disease itself, may induce a cardiogenic shock. Although increasing, these cardiogenic shocks are still relatively limited, and their management is a matter of debate in cancer patients. Etiologies that cause cardiogenic shock are slightly different from those of non-cancer patients, and management has some specific features always requiring a multidisciplinary approach. Recent guidelines and extensive data from the scientific literature can provide useful guidance for the management of these critical patients. Even if no etiologic therapy is available, maximal intensive supportive measures can often be justified, as most of these cardiogenic shocks are potentially reversible. In this review, we address the major etiologies that can lead to cardiogenic shock in cancer patients and discuss issues related to its management.

show abstract